Organization Active NPI

Vein Atlanta, LLC

  • Vascular Surgery Physician
  • Atlanta, GA
National Provider Identifier
1316226582
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
034923 Issued in GA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.