VASCULAR INSTITUTE OF GEORGIA AT SAINT JOSEPH'S, LLC (NPI# 1932488913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932488913 |
| Entity Type | Organization |
| Organization Name | VASCULAR INSTITUTE OF GEORGIA AT SAINT JOSEPH'S, LLC |
| Practice Address |
5669 Peachtree Dunwoody Rd Ne Suite 100 Atlanta GA 30342-1786 |
| Mailing Address |
1838 American Way Lawrenceville GA 30043-6611 |
| Practice Telephone | 4042560404 |
| Practice Fax Number | 4048470423 |
| Mailing Telephone | 7709957622 |
| Mailing Fax Number | 7709957854 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MR. RONALD D. REED (VICE PRESIDENT) |
| Authorized Official Telephone | 6788435773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
5669 PEACHTREE DUNWOODY RD NE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528384 | William Carlisle Jacobs | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2005-06-15 |
| 1649518432 | Wiley A. Parker, M.d.,p.c. | Clinic/Center | 5669 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1786 | 2013-01-29 |
| 1922384429 | Allison Bruce Anderson | Physician Assistant | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2011-10-27 |
| 1174802003 | Vein Center of Georgia At Saint Joseph's, LLC | Surgery | 5669 Peachtree Dunwoody Rd Ne, Suite 155, Atlanta, GA 30342-1786 | 2011-08-09 |
| 1720384324 | Saint Joseph's Medical Group Primary Care, LLC | Family Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2011-01-31 |
| 1588890586 | United Renal Associates of Georgia, PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Ste 240, Atlanta, GA 30342-1786 | 2009-06-03 |
| 1477730273 | Thomas Patrick Mcgahan M.d. | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-24 |
| 1649457441 | Kelly Lynn Carson M.d. | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-24 |
| 1770768780 | Max A Shapiro | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-09 |
| 1104024496 | Meredith Page Kelleher | Physician Assistant | 5669 Peachtree Dunwoody Rd Ne, Suite 170, Atlanta, GA 30342-1786 | 2007-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
| 1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
| 1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
| 1033372610 | Robert S Crawford | Surgery | 5673 Peachtree Dunwoody Ste 675, Atlanta, GA 30342-1774 | 2008-07-03 |
| 1821039991 | Brooks A Whitney | Surgery | 5671 Peachtree Dunwoody Rd Ste 620, Atlanta, GA 30342-5006 | 2006-06-09 |
| 1962461426 | Frank L Ferrier | Surgery | 1100 Johnson Ferry, Ste 235, Atlanta, GA 30342 | 2006-03-22 |
| 1295723005 | James Milton Poindexter Jr. | Surgery | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2005-10-06 |
| 1326044330 | Charles B. Ross | Surgery | 95 Collier Road, Suite 5015, Atlanta, GA 30309 | 2005-06-23 |
| 1285114363 | Atlanta Vascular Surgery | Surgery | 1002 Lindbergh Dr Ne, Atlanta, GA 30324-3721 | 2018-08-17 |
| 1528497484 | Vcp 2 Atlanta PC | Surgery | 3390 Peachtree Rd Ne, Ste 425, Atlanta, GA 30326-1157 | 2013-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.