VITALITY HEALTH PRIMARY CARE LLC
NPI 1649011842
Nurse Practitioner - Family in Mcdonough, GA

Active since June 03, 2024
360 RACETRACK RD, MCDONOUGH, GA 30252(470) 377-6282 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitality Health Primary Care Llc NPPES

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

VITALITY HEALTH PRIMARY CARE LLC (NPI 1649011842) is a healthcare organization registered as a family in Mcdonough, Georgia and active in the NPI registry since June 2024. The organization lists Darnella Crowder, Owner/fnp-c, as its authorized official.

NPPES Registry Identity

NPI1649011842
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY HEALTH PRIMARY CARE LLC
Location Address360 RACETRACK RDMcdonough, GA 30252-1022
Mailing Address1406 Landon DrLocust Grove, GA 30248-2462 · (404) 704-6283
Organization SubpartNo
Authorized OfficialDarnella CrowderOwner/fnp-c · (404) 704-6283
Enumeration DateJune 3, 2024
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 4, 2024
NPI 1649011842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
360 RACETRACK RD, Mcdonough, GA 30252

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 3

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

Nurse Practitioner (Family)
360 RACETRACK RD
MCDONOUGH, GA 30252
Nurse Practitioner (Family)
360 RACETRACK RD
MCDONOUGH, GA 30252
Clinic/Center (Health Service)
360 RACETRACK RD
MCDONOUGH, GA 30252

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 Vitality Health Primary Care LLC's NPI number?

The NPI number for Vitality Health Primary Care LLC is 1649011842. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Vitality Health Primary Care LLC located?

Vitality Health Primary Care LLC is located at 360 Racetrack Rd, Mcdonough, GA 30252. The listed phone number is (470) 377-6282.

What is Vitality Health Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vitality Health Primary Care LLC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.