Center for Vascular Intervention LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CENTER FOR VASCULAR INTERVENTION LLC

Practice address

5505 Peachtree Dunwoody Rd Ste 370
Atlanta, GA 30342-1713

Phone

(770) 538-1772

Fax

(770) 538-1773

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Douglas C. Redd

Title

Owner

Phone

(770) 538-1772

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1295256311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421713",
            "telephone_number": "770-538-1772",
            "fax_number": "770-538-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421713",
            "telephone_number": "770-538-1772",
            "fax_number": "770-538-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VASCULAR INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-538-1772"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1295256311",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/COVENTRY",
            "identifier": "4551596",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Atlanta, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.