Active NPI
Vein Center of Georgia at Saint Joseph'S, LLC
- Vascular Surgery Physician
- Atlanta, GA
National Provider Identifier
1174802003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S, LLC
- Practice address
- 5669 Peachtree Dunwoody Rd NE
Suite 155
Atlanta, GA 30342-1786 - Phone
- (404) 246-0404
- Fax
- (404) 847-0423
- NPI assigned
- Aug 9, 2011
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
5669 Peachtree Dunwoody Rd NE
Suite 155
Atlanta, GA 30342-1786
Mailing address
1838 American Way
Lawrenceville, GA 30043-6611
Phone (770) 995-7622
National Provider Directory
National Provider DirectoryLocations
5669 Peachtree Dunwoody Rd
Ste 155
Sandy Springs, GA 30342
Phone (404) 246-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1174802003",
"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": "5669 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 155",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421786",
"telephone_number": "404-246-0404",
"fax_number": "404-847-0423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-09",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- 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.