VCP 2 Greensboro PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VCP 2 GREENSBORO PC

Doing business as

Vein Guys

Practice address

1061 Park Dr
Greensboro, GA 30642-3465

Phone

(866) 328-8346

Fax

(706) 854-2149

NPI assigned

Feb 3, 2025

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jewell Halliburton

Title

Regional Practical Administrator

Phone

(706) 888-1256

Specialties & licenses 1

Addresses

Other names 1

• Vein Guys Doing business as

Locations

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1457165201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR BLDG 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096633",
            "telephone_number": "706-888-1256",
            "fax_number": "706-854-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 PARK DR",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423465",
            "telephone_number": "866-328-8346",
            "fax_number": "706-854-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCP 2 GREENSBORO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "HALLIBURTON",
        "authorized_official_first_name": "JEWELL",
        "authorized_official_title_or_position": "REGIONAL PRACTICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "706-888-1256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Guys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular Surgery Physician in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.