Georgia Vascular Clinic at Saint Joseph's, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC

Practice address

5671 Peachtree Dunwoody Rd NE
Suite 250
Atlanta, GA 30342-5000

Phone

(404) 256-0170

Fax

(404) 256-2998

NPI assigned

Aug 5, 2011

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald D Reed

Title

Vice President

Phone

(678) 843-5773

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Nicole Erickson, NP-C

  • Critical Care Medicine Nurse Practitioner
  • Atlanta, GA
  • NPI 1699941625
  NPD (past)
• Brooks A Whitney, MD

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1821039991
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1023397213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 AMERICAN WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436611",
            "telephone_number": "770-995-7622",
            "fax_number": "770-995-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-256-0170",
            "fax_number": "404-256-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "678-843-5773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Urology PA
• Georgia Urology Pediatric LLC
• Georgia Urology Pediatric LLC
• Georgia Urology Robotics
• Georgia Uvc Medical LLC (United Vein & Vascular Centers)
• Georgia Vascular Clinic PA
• Georgia Vascular Institute, LLC
• Georgia Vascular Specialists PC
• Georgia Wellness & Rehab Center
• Georgia Wellness Associates (Georgia Pain and Wellness)

• Vascular Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.