Active NPI
James Milton Poindexter Jr., MD, FACS
- Vascular Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 029071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00338379C | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Washington School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Vascular Specialists PC | Vascular Surgery | Current | Accepting new patients |
| PVC Georgia LLC | Current | Accepting new patients | |
| Georia Vascular Surgery PC | Vascular Surgery | Past | 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
- 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.
-
- Family Medicine Physician
- Marietta, GA
- NPI 1447130224
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1558420778
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1619036928
-
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1154475275
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.