Individual provider Active NPI

James Milton Poindexter Jr., MD, FACS

  • Vascular Surgery Physician
  • Atlanta, GA
National Provider Identifier
1295723005
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
029071 Issued in GA
Practice address
1718 Peachtree St NW
Suite 360
Atlanta, GA 30309-2452
Phone
(404) 350-9505
Fax
(404) 350-1611
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 029071 GA Primary

Addresses

Primary practice location

1718 Peachtree St NW
Suite 360
Atlanta, GA 30309-2452

Mailing address

PO Box 54888
Atlanta, GA 30308-0888
Phone (404) 350-9505

Other identifiers 1

IdentifierTypeStateIssuer
00338379CMedicaidGA

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
I20050330000339 GA Practitioner - General SurgeryPractitioner - Vascular Surgery 8921079195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Washington School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PVC Georgia LLCGroup PAC ID 4789176009, 4 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
Suite 100
Marietta, GA 30067-5491
Phone (212) 734-6621

1718 Peachtree St NW
Suite 360
Atlanta, GA 30309-7038
Phone (212) 734-6621

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Vascular Specialists PC Vascular Surgery CurrentSince Apr 1, 2006 Accepting new patients
PVC Georgia LLC CurrentSince Jan 13, 2026 Accepting new patients
Georia Vascular Surgery PC Vascular Surgery PastSince Jul 1, 1966 Accepting new patients
Vascular Access Center of Atlanta LLC Past Accepting new patients

Locations

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

1718 Peachtree St NW
Atlanta, GA 30309
Phone (770) 270-5229

Interoperability endpoints

  • Direct secure messaging: georgiavascularspecialists.jamespoindexterjr@127415.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1295723005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54888",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080888",
            "telephone_number": "404-350-9505",
            "fax_number": "404-350-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW",
            "address_2": "SUITE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092452",
            "telephone_number": "404-350-9505",
            "fax_number": "404-350-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "JAMES",
        "middle_name": "MILTON",
        "name_suffix": "Jr.",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "029071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00338379C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.