COMPREHENSIVE VINE HEALTH SERVICES
NPI 1972872661
Community/Behavioral Health in Stone Mountain, GA

Active since December 26, 2011
1978 SCARBROUGH DR, STONE MOUNTAIN, GA 30088(404) 796-6511(678) 550-9140 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Comprehensive Vine Health Services NPPES

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

COMPREHENSIVE VINE HEALTH SERVICES (NPI 1972872661) is a healthcare organization registered as a community/behavioral health in Stone Mountain, Georgia and active in the NPI registry since December 2011. The organization lists Quintina L Macauley, Owner, as its authorized official.

NPPES Registry Identity

NPI1972872661
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMPREHENSIVE VINE HEALTH SERVICES
Location Address1978 SCARBROUGH DRStone Mountain, GA 30088-4422
Mailing Address1978 Scarbrough DrStone Mountain, GA 30088-4422 · (404) 796-6511 · Fax (678) 550-9140
Fax(678) 550-9140
Organization SubpartNo
Authorized OfficialQuintina L MacauleyOwner · (404) 796-6511
Enumeration DateDecember 26, 2011
Last NPPES UpdateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1972872661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in GA · RN10908
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License RN109088 (GA)
1978 SCARBROUGH DR, Stone Mountain, GA 30088

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Vine Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Comprehensive Vine Health Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1326352972
1978 SCARBROUGH DR
Stone Mountain, GA 30088
(404) 796-6511
✔ PECOS✔ Accepts MedicareSame address
Geriatric Psychiatry
NPI 1770296725
3975 COURTNEY PL
Ellenwood, GA 30294
(770) 866-0876
✔ PECOS✔ Accepts Medicare6.0 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1346441029
3490 BOWLING GREEN WAY
Atlanta, GA 30340
(678) 937-9971
✔ PECOS✔ Accepts Medicare12 mi

Source: 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 Comprehensive Vine Health Services's NPI number?

The NPI number for Comprehensive Vine Health Services is 1972872661. It was assigned to this organization in the NPPES registry on December 26, 2011.

Where is Comprehensive Vine Health Services located?

Comprehensive Vine Health Services is located at 1978 Scarbrough Dr, Stone Mountain, GA 30088. The listed phone number is (404) 796-6511.

What is Comprehensive Vine Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Comprehensive Vine Health Services enrolled in Medicare?

Yes. Comprehensive Vine Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Vine Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Comprehensive Vine Health Services, in Certified Clinical Nurse Specialist (CNS), Geriatric Psychiatry and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 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 Comprehensive Vine Health Services 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.