Individual provider Active NPI

Louis G Prevosti, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Canton, GA
National Provider Identifier
1063477222
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
034923 Issued in GA
Practice address
147 Reinhardt College Pkwy Ste 10
Canton, GA 30114-5295
Phone
(470) 394-6669
Fax
(470) 567-9047
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 034923 GA Primary

Addresses

Primary practice location

147 Reinhardt College Pkwy Ste 10
Canton, GA 30114-5295

Mailing address

147 Reinhardt College Pkwy Ste 10
Canton, GA 30114-5295
Phone (470) 567-9047

Other identifiers 3

IdentifierTypeStateIssuer
000469994FMedicaidGA
330005751OtherGARR MEDICARE
610271OtherGABCBS EDI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000752 GA Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 2264325976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albany Medical College of Union University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

147 Reinhardt College Pkwy
Suite 10
Canton, GA 30114-5295
Phone (470) 567-9047

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prevosti Vein Center LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2025 Accepting new patients
Center for Vein Restoration Ga Corp CurrentSince Oct 1, 2020 Accepting new patients
Center for Vein Restoration Ga Corp Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2020 Accepting new patients
Peachtree Cardiovascular Surgeons at Saint Joseph's LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Peachatree Cardiovascular & Thoracic Surgeons, P.a. PastSince Jul 23, 1992 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 360
Alpharetta, GA 30005
Phone (770) 475-0077

3886 Princeton Lakes Way SW
Ste 140
Atlanta, GA 30331

2444 Parkwood Dr
Brunswick, GA 31520
Phone (912) 267-0424

147 Reinhardt College Pkwy
Ste 10
Canton, GA 30114
Phone (470) 274-7763

601 Professional Dr
Ste 170
Lawrenceville, GA 30046
Phone (404) 423-7112

833 Campbell Hill St NW
Ste 115
Marietta, GA 30060
Phone (770) 427-1307

1100 Johnson Fy Rd NE
Ste 165
Sandy Springs, GA 30342
Phone (404) 446-2800

3338 Country Club Rd
Ste M
Valdosta, GA 31605
Phone (229) 259-9666

Interoperability endpoints

  • Direct secure messaging: veinatlanta@vatl-former.streamlinemddirect.com
  • Direct secure messaging: louis.prevostimdfacs.p3@direct.cvr.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDIDD/Endpoint/AHDIDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1063477222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY STE 10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145295",
            "telephone_number": "470-567-9047",
            "fax_number": "855-538-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY STE 10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145295",
            "telephone_number": "470-394-6669",
            "fax_number": "470-567-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOSTI",
        "first_name": "LOUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "034923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000469994F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "330005751",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS EDI",
            "identifier": "610271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.