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Vivasalud Clinic 1 LLC

Family Medicine Physician in Snellville, GA · enumerated 2022 · authorized official Vanessa Jimenez, Chief Clinical Operations Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386361756

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Registry record

Entity type Organization (Type 2)
Legal business name Vivasalud Clinic 1 LLC
Practice address 2336 Wisteria Dr Ste 110, Snellville, GA, 30078
Phone (470) 342-8500
Enumeration date Oct 25, 2022
Last updated in NPPES Feb 15, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Vanessa Jimenez
Title Chief Clinical Operations Officer
Phone (470) 607-5533

Other identifiers

Identifier Type State Issuer
003284553A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Vivasalud Clinic 1 LLC?
The NPI for Vivasalud Clinic 1 LLC is 1386361756, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Vivasalud Clinic 1 LLC?
NPPES lists Vanessa Jimenez (Chief Clinical Operations Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-15.