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LAWRENCEVILLE VA CLINIC
NPI 1780631689
Clinic/Center - VA in Lawrenceville, GA

Active since May 27, 2006
455 PHILIP BLVD STE 200, LAWRENCEVILLE, GA 30046(828) 257-2333 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2020, Apr 11, 2018 (2 updates tracked since 2018).

About Lawrenceville Va Clinic NPPES

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

LAWRENCEVILLE VA CLINIC (NPI 1780631689) is a healthcare organization registered as a va in Lawrenceville, Georgia and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1780631689
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameATLANTA VAMC
Location Address455 PHILIP BLVD STE 200Lawrenceville, GA 30046-8766
Mailing AddressPo Box 89498Cleveland, OH 44101-6498 · (828) 257-2333
Phone(828) 257-2333
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1780631689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
455 PHILIP BLVD STE 200, Lawrenceville, GA 30046
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Other Names 1

Other NameLawrenceville Va Clinic

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.

DANEYAL RAZA
Radiology (Diagnostic Radiology)
455 PHILIP BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 225-0350
MS. MADELEINE O. KENNEDY NP
Nurse Practitioner (Gerontology)
455 PHILIP BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 363-6096
DOMINIQUE GADSON R.T.(R)(ARRT)
Radiologic Technologist
455 PHILIP BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 225-0350

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 Atlanta Vamc's NPI number?

The NPI number for Atlanta Vamc is 1780631689. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is also known as Lawrenceville VA Clinic.

Where is Atlanta Vamc located?

Atlanta Vamc is located at 455 Philip Blvd Ste 200, Lawrenceville, GA 30046. The listed phone number is (828) 257-2333.

What is Atlanta Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Atlanta Vamc was last updated on July 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.