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Search › Georgia › 111N00000X

Jadaya Vines

NPI 1518876226 · on the registry since 2026

Practice

Address
950 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone
(404) 510-7963
Organisation at this address
The Palmer Group Inc
Noah'S Ark Urgent Care Llc
Ax Stockbridge Services Inc
Fidelity Health Care Group, Llc
Homebound Health And Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
111N00000X
111N00000X
Also registered as
111NR0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia