MEDICARE: VPA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208D00000X	General Practice Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1164149365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPA PC

Provider Business Mailing Address
First Line	:	PO BOX 40412
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1255
Country	:	US
Telephone Number	:	248-266-4200
Fax Number	:	855-618-6655

Provider Business Practice Location Address
First Line	:	1372 PEACHTREE ST NE STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3248
Country	:	US
Telephone Number	:	470-964-1700
Fax Number	:	678-288-5639

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY STEVENS
Credential	:	DO
Telephone Number	:	488-246-6002

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	04/13/2026

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Directions to “VPA PC ” Practice Location

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