NPI age
14 years
Enumerated 2011-08-30
● Active Type 2 · Organization
La Vista Norcross Clinic
La Vista Norcross Clinic is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanchez
Medical Director
Last NPPES update
2011-08-30
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
14 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2625 Beaver Ruin Rd Ste B
Norcross, GA 300714136
Mailing address
2625 Beaver Ruin Rd Ste B
Norcross, GA 300714136
Authorized official
Juana M Sanchez, M.D
Medical Director
📞 7704462820
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 043659295A |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.