Georia Vascular Surgery PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

029071 Issued in GA

Legal business name

GEORIA VASCULAR SURGERY PC

Practice address

1718 Peachtree St NW
Suite 260
Atlanta, GA 30309-2452

Phone

(404) 350-9505

Fax

(404) 350-1611

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laverne W Poindexter, RN, MBA

Title

Executive Administrator

Phone

(770) 270-5229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Milton Poindexter Jr., MD, FACS

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1295723005
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619036928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54157",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080157",
            "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 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092452",
            "telephone_number": "404-350-9505",
            "fax_number": "404-350-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORIA VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-270-5229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "029071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Atlanta, GA
• Providers in Atlanta, 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 Aug 22, 2020; 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.