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VITALITY SPRINGS FAMILY PRACTICE
NPI 1487297164
Clinic/Center in Atlanta, GA

Active since October 24, 2019
3915 CASCADE RD SW STE T-90, ATLANTA, GA 30331(770) 925-5884(888) 440-7722 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2019, Oct 24, 2019 (2 updates tracked since 2019).

About Vitality Springs Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY SPRINGS FAMILY PRACTICE (NPI 1487297164) is a healthcare organization registered as a clinic/center in Atlanta, Georgia and active in the NPI registry since October 2019. The organization lists Todd Deavens, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1487297164
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDEAVMED L.L.C
Location Address3915 CASCADE RD SW STE T-90Atlanta, GA 30331-8660
Mailing Address1481 Bourdon Bell Dr SeConyers, GA 30013-7459 · (770) 925-5884
Phone(770) 925-5884
Fax(888) 440-7722
Organization SubpartNo
Authorized OfficialTodd DeavensOwner/member · (770) 925-5884
Enumeration DateOctober 24, 2019
Last NPPES UpdateDecember 19, 20192 updates tracked since enumeration
✔ NPI 1487297164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
3915 CASCADE RD SW STE T-90, Atlanta, GA 30331
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Other Names 1

Doing Business AsVitality Springs Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARDSON DESMANGLES FNP-C
Nurse Practitioner (Family)
3915 CASCADE RD SW STE T-90
ATLANTA, GA 30331
Fulton County (404) 564-7749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deavmed L.L.C's NPI number?

The NPI number for Deavmed L.L.C is 1487297164. It was assigned to this organization in the NPPES registry on October 24, 2019. The provider is doing business as Vitality Springs Family Practice.

Where is Deavmed L.L.C located?

Deavmed L.L.C is located at 3915 Cascade Rd SW Ste T-90, Atlanta, GA 30331. The listed phone number is (770) 925-5884.

What is Deavmed L.L.C's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Deavmed L.L.C was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.