Active NPI
Vein Atlanta, LLC
- Vascular Surgery Physician
- Atlanta, GA
National Provider Identifier
1316226582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 034923
- Legal business name
- VEIN ATLANTA, LLC
- Practice address
- 1100 Johnson Ferry Rd NE
Suite 165
Atlanta, GA 30342-1709 - Phone
- (404) 446-2800
- Fax
- (404) 446-2809
- NPI assigned
- Aug 5, 2011
- Last updated
- Jun 14, 2023
- 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
- Dr. Louis G Prevosti, M.D.
- Title
- Owner/ M.D.
- Phone
- (404) 446-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 034923 | GA | Primary |
Addresses
Primary practice location
1100 Johnson Ferry Rd NE
Suite 165
Atlanta, GA 30342-1709
Mailing address
1100 Johnson Ferry Rd NE
Suite 165
Atlanta, GA 30342-1709
Phone (404) 446-2800
National Provider Directory
National Provider DirectoryLocations
1100 Johnson Fy Rd NE
Ste 165
Sandy Springs, GA 30342
Phone (404) 446-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1316226582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD NE",
"address_2": "SUITE 165",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-446-2800",
"fax_number": "404-446-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD NE",
"address_2": "SUITE 165",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-446-2800",
"fax_number": "404-446-2809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN ATLANTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-05",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "PREVOSTI",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/ M.D.",
"authorized_official_telephone_number": "404-446-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "034923",
"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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.