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VINE MEDICAL ASSOCIATES, PC
NPI 1598839953
Family Medicine in Roswell, GA

Active since November 20, 2006CLIA 11D1065322 · Waiver
11660 ALPHARETTA HWY STE 290, ROSWELL, GA 30076(404) 446-3600(404) 446-3609 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vine Medical Associates, Pc NPPES

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

VINE MEDICAL ASSOCIATES, PC (NPI 1598839953) is a healthcare organization registered as a family medicine in Roswell, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Michele L Dreckman Janssens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1598839953
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVINE MEDICAL ASSOCIATES, PC
Location Address11660 ALPHARETTA HWY STE 290Roswell, GA 30076
Mailing Address11660 Alpharetta Hwy Ste 290Roswell, GA 30076-4963 · (404) 446-3600 · Fax (404) 446-3609
Phone(404) 446-3600
Fax(404) 446-3609
Organization SubpartNo
Authorized OfficialMichele L Dreckman JanssensOffice Manager · (404) 446-3607
Enumeration DateNovember 20, 2006
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1598839953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11660 ALPHARETTA HWY STE 290, Roswell, GA 30076
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1065322

Vine Medical Associates · Roswell, GA
Active · expires Feb 26, 2027
CLIA Number11D1065322
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMargaret M. Chinnis
Laboratory Phone(404) 446-3600
Laboratory LocationVine Medical Associates11660 Alpharetta Hwy Ste 290, Roswell, GA 30076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MS. SUZANNE JEANNETTE FERREE MD
Family Medicine
11660 ALPHARETTA HWY STE 290
ROSWELL, GA 30076
Fulton County (404) 446-3600
CAROLINE MCLENDON WIELER MS, RDN
Dietitian, Registered
11660 ALPHARETTA HWY STE 290
ROSWELL, GA 30076
Fulton County (770) 375-8403
MRS. MELISSA IRBY SELBY NP
Nurse Practitioner (Primary Care)
11660 ALPHARETTA HWY STE 290
ROSWELL, GA 30076
Fulton County (404) 446-3600
MRS. MOLLY K HEIMBECKER PA-C
Physician Assistant
11660 ALPHARETTA HWY STE 290
ROSWELL, GA 30076
Fulton County (404) 446-3600
MRS. TESSA BUTLER COBUCCI MSN, APRN, FNP-C
Nurse Practitioner (Family)
11660 ALPHARETTA HWY STE 290
ROSWELL, GA 30076
Fulton County (404) 446-3900

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 Vine Medical Associates, PC's NPI number?

The NPI number for Vine Medical Associates, PC is 1598839953. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Vine Medical Associates, PC located?

Vine Medical Associates, PC is located at 11660 Alpharetta Hwy Ste 290, Roswell, GA 30076. The listed phone number is (404) 446-3600.

What is Vine Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vine Medical Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1065322) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vine Medical Associates, PC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.