VITALITY AGELESS CENTER LLC
NPI 1730657271
Clinic/Center - Multi-Specialty in Suwanee, GA
About Vitality Ageless Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY AGELESS CENTER LLC (NPI 1730657271) is a healthcare organization registered as a multi-specialty in Suwanee, Georgia and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Ormond Beach and lists Julie Yu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitality Ageless Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Vitality Ageless Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ageless Center LLC's NPI number?
The NPI number for Vitality Ageless Center LLC is 1730657271. It was assigned to this organization in the NPPES registry on November 2, 2018.
Where is Vitality Ageless Center LLC located?
Vitality Ageless Center LLC is located at Vitality Ageless Center LLC 1300 Peachtree Industrial Blvd #1201, Suwanee, GA 30024. The listed phone number is (770) 614-6266.
What is Vitality Ageless Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Vitality Ageless Center LLC enrolled in Medicare?
Yes. Vitality Ageless Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Ageless Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Vitality Ageless Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Internal Medicine (2) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vitality Ageless Center LLC was last updated on May 9, 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.
# Vitality Ageless Center Llc · NPI 1730657271
Multi-Specialty organization in Suwanee, Georgia. Organization record, active in the CMS NPPES registry since November 2, 2018.
## Identity
- **NPI:** 1730657271 (Entity type: Organization)
- **Enumerated:** November 2, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Julie Yu, OWNER
## Practice location
- **Address:** VITALITY AGELESS CENTER LLC, 1300 PEACHTREE INDUSTRIAL BLVD #1201, Suwanee, GA 30024-4686
- **Phone:** (770) 614-6266 · **Fax:** (770) 623-9949
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Internal Medicine (2), Family Practice (1); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1730657271/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730657271) · Data from the CMS NPPES public registry.