Vascular Access Center Center of South Atlanta, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VASCULAR ACCESS CENTER CENTER OF SOUTH ATLANTA, LLC

Practice address

150 Country Club Dr
Suite 101
Stockbridge, GA 30281-9089

Phone

(215) 382-3680

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly J Parkinson

Title

Coo

Phone

(215) 382-3680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1215112685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819089",
            "telephone_number": "770-507-4042",
            "fax_number": "770-507-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819089",
            "telephone_number": "215-382-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTER CENTER OF SOUTH ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-382-3680"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie C. Young, M.D. & Associates, LLC
• Jason Vanauken, PT
• Vandana Anand, M.D
• Brigitte Vanle, MD
• Veronica Vante
• Stephanie Gloria Vasquez, M.ED, ATC, LAT
• Kyla Vaughn
• Roger Martin Vega Blanco, M.D.
• Charm Amour Vega
• Graciela Armanda Vega, NP

• Vascular & Interventional Radiology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Vascular & Interventional Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.