Provider Demographics
NPI:1932762580
Name:VELOCITY HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:VELOCITY HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:404-725-3382
Mailing Address - Street 1:880 MARIETTA HIGHWAY
Mailing Address - Street 2:SUITE 630, PMB 323
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075
Mailing Address - Country:US
Mailing Address - Phone:877-746-7090
Mailing Address - Fax:412-937-5739
Practice Address - Street 1:1075 BANDY PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7036
Practice Address - Country:US
Practice Address - Phone:770-228-3836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty