VITIA ANGELA PACK PA-C
NPI 1013133826
Physician Assistant in Dallas, GA
NPI Status: Active since April 18, 2007
Contact Information
49 HOSIERY MILL RD STE 124
DALLAS, GA
ZIP 30157
Phone: (770) 443-6111
- Individual
- Female
- Years of Experience 15
- Physician Assistant
- Accepts Medicare Approved Payment
About VITIA PACK
This page provides the complete NPI Profile along with additional information for Vitia Pack, a primary care provider established in Dallas, Georgia with a medical specialization in Physician Assistant and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1013133826 assigned on April 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA9106235 (FL). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1013133826
- Provider Name
- VITIA ANGELA PACK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157
- Location Phone
- (770) 443-6111
- Mailing Address
- 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157
- Mailing Phone
- (770) 443-6111
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-18-2007
- Last Update Date
- 04-29-2025
- Code Navigator
A primary care provider (PCP) like Vitia Pack sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA9106235
- License State
- FL
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
Medicare Participation & PECOS Enrollment Status
Vitia Pack is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1557527959
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240517001067
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Insertion of needle into vein for collection of blood sample
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 14 times for 14 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vitia Pack is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| WELLSTAR PAULDING MEDICAL CENTER | 2518 JIMMY LEE SMITH PARKWAY HIRAM, GA 30141 | (470) 644-7000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 1 | 3 | 3 | 8 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 2 | 3 | 6 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 2 + 3 + 6 + 8 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1013133826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629222419 | NEW HOPE URGENT CARE LLC Organization | Clinic/Center (Urgent Care) | 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157 (770) 443-6111 |
| 1407400260 | SIBILLA KAY BLAIR FNP-C Individual | Nurse Practitioner (Family) | 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157 (770) 443-6111 |
| 1457951444 | NEW HOPE PRIMARY AND URGENT CARE LLC Organization | Clinic/Center (Urgent Care) | 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157 (770) 443-6111 |
| 1609400886 | MORGAN ELISE BENSON BAKER PA-C Individual | Physician Assistant | 49 HOSIERY MILL RD STE 124 DALLAS, GA 30157 (770) 443-6111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013133826, enumerated in the NPI registry as an "individual" on April 18, 2007
The provider is located at 49 Hosiery Mill Rd Ste 124 Dallas, Ga 30157 and the phone number is (770) 443-6111
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 15 years of experience.
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample.
The practitioner is affiliated to the following hospital(s): WELLSTAR PAULDING MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.