CLINICA VITAL, LLC
NPI 1780374645
Family Medicine in Chamblee, GA

Q: What is Clinica Vital, LLC's NPI number?

The NPI number for Clinica Vital, LLC is 1780374645. It was assigned to this organization in the NPPES registry on May 12, 2023.

Q: What is Clinica Vital, LLC's specialty?

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

Active since May 12, 2023CLIA 11D2284469 · Waiver

3661 CLAIRMONT RD, CHAMBLEE, GA 30341(770) 797-5167(404) 891-6343 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Clinica Vital, Llc NPPES

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

CLINICA VITAL, LLC (NPI 1780374645) is a healthcare organization registered as a family medicine in Chamblee, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Melissa Salcido, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780374645

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLINICA VITAL, LLC

Location Address3661 CLAIRMONT RDChamblee, GA 30341-4907

Mailing Address3661 Clairmont RdChamblee, GA 30341-4907 · (770) 797-5167 · Fax (404) 891-6343

Phone(770) 797-5167

Fax(404) 891-6343

Organization SubpartNo

Authorized OfficialMelissa SalcidoCeo · (770) 797-5167

Enumeration DateMay 12, 2023

NPPES CertifiedMay 12, 2023

✔ NPI 1780374645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPediatricsTaxonomy 208000000X

3661 CLAIRMONT RD, Chamblee, GA 30341

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Vital, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Vital, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Batista, M.D.

Family Practice

NPI 1780906792

3661 CLAIRMONT RD
Atlanta, GA 30341

(770) 696-5649

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2284469

Clinica Vital, LLC · Chamblee, GA

Active · expires Jun 22, 2027

CLIA Number11D2284469

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorJose A. Batista

Laboratory Phone(770) 797-5167

Laboratory LocationClinica Vital, LLC3661 Clairmont Road, Chamblee, GA 30341

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Vital, LLC's NPI number?

The NPI number for Clinica Vital, LLC is 1780374645. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Clinica Vital, LLC located?

Clinica Vital, LLC is located at 3661 Clairmont Rd, Chamblee, GA 30341. The listed phone number is (770) 797-5167.

What is Clinica Vital, LLC's specialty?

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

Is Clinica Vital, LLC enrolled in Medicare?

Yes. Clinica Vital, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Vital, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clinica Vital, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinica Vital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2284469) is associated with this NPI, valid through June 22, 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 Clinica Vital, LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.