North Atlanta Vascular Clinic, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

058235 Issued in GA

Legal business name

NORTH ATLANTA VASCULAR CLINIC, PC

Practice address

2685 Peachtree Pkwy Ste 320
Suwanee, GA 30024-1048

Phone

(770) 771-5269

Fax

(770) 771-5269

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Uthan Vivek, MDNPI 1831109891

Title

Owner/Physician

Phone

(770) 771-5260

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Georgia Vascular & Vein Center

  • Ambulatory Surgical Clinic/Center
  • Suwanee, GA
  • NPI 1437642857

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAA

Practitioners 8

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

• Uthan Vivek, MD

  • Vascular Surgery Physician
  • Suwanee, GA
  • NPI 1831109891
  Medicare reassignment Care Compare group NPD Authorized official
• Mehulkumar Joshi, D.O

  • Vascular Surgery Physician
  • Johns Creek, GA
  • NPI 1124467709
  Medicare reassignment Care Compare group NPD
• Visharad Patel, D.O.

  • Vascular Surgery Physician
  • Suwanee, GA
  • NPI 1437554698
  Medicare reassignment Care Compare group NPD
• James Ren, D.O

  • Vascular Surgery Physician
  • Johns Creek, GA
  • NPI 1447639505
  Medicare reassignment Care Compare group NPD
• Joseph Kim, APRN, FNP-C

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1033898499
  Medicare reassignment NPD
• Whitney Virginia Cook, M.D.

  • Gynecology Physician
  • Johns Creek, GA
  • NPI 1871890855
  NPD (past)
• Jennifer Un-Jin Kang, FNP-C

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1205353422
  NPD (past)
• Sujatha Vivek, MD

  • Obstetrics & Gynecology Physician
  • Suwanee, GA
  • NPI 1013927003
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1619987682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 PEACHTREE PKWY STE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "770-771-5269",
            "fax_number": "770-771-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 PEACHTREE PKWY STE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "770-771-5269",
            "fax_number": "770-771-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA VASCULAR CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "VIVEK",
        "authorized_official_first_name": "UTHAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "770-771-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "058235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Suwanee",
            "affiliation": "N",
            "address_1": "2685 Peachtree Pkwy Ste 320",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Suwanee",
            "affiliation": "N",
            "address_1": "2685 Peachtree Pkwy Ste 320",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Aileen M Norden, M.D.
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• Vascular Surgery Physician in Suwanee, GA
• Providers in Suwanee, 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 Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.