# ATLANTA VA MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073699286
- **Authorized official:** MR. MELVIN JOHNSON RPH (CLINICAL PHARMACIST)
- **Authorized official phone:** (404) 321-6111

## Contact information

- **Practice address:** 1670 CLAIRMONT RD, DECATUR, GA 30033-4004
- **Practice address phone:** (404) 321-6111
- **Mailing address:** 1112 DOVE VALLEY RD, DECATUR, GA 30032-2322
- **Mailing address phone:** (404) 284-0782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 19217 | MA | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020