Active NPI
Vadim Lvovich
- Anesthesiologist Assistant
- Jonesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 1437
- Practice address
- 405 Arrowhead Blvd
Suite C
Jonesboro, GA 30236-1254 - Phone
- (770) 478-9877
- Fax
- (770) 478-2908
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
Anesthesiologist Assistant, GA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverdale, GA
- NPI 1154795581
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverdale Anesthesia Services LLC
Practice addresses (Care Compare)
11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone (770) 991-8000
Hospital & facility affiliations
- Southern Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061204000395 | GA | Practitioner - Anesthesiology Assistant | 6204835150 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1437 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpi of Georgia, LLC | Current | Accepting new patients | |
| Premier Anesthesia of Georgia LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Riverdale Anesthesia Services LLC | Current | Accepting new patients | |
| Capitol Anesthesiology, PC | Current | Accepting new patients |
Locations
365 E Paces Ferry Rd NE
Atlanta, GA 30305
Phone (404) 814-0868
1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238
156 Foster Dr
Ste A
McDonough, GA 30253
Phone (404) 932-0295
156 Foster Dr
Spc C
McDonough, GA 30253
6649 Lake Dr
Morrow, GA 30260
1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770
180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1437 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
405 Arrowhead Blvd
Suite C
Jonesboro, GA 30236-1254
Mailing address
5570 Arrowind Rd NW
Lilburn, GA 30047-8211
Phone (770) 717-8997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679685697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 ARROWIND RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300478211",
"telephone_number": "770-717-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 ARROWHEAD BLVD",
"address_2": "SUITE C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361254",
"telephone_number": "770-478-9877",
"fax_number": "770-478-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LVOVICH",
"first_name": "VADIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "1437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.