Southern Vascular Speciaists

Primary specialty

SpecialistTaxonomy code 174400000X

License

055328 Issued in GA

Legal business name

SOUTHERN VASCULAR SPECIAISTS

Practice address

505 Gordon Ave
Thomasville, GA 31792-6645

Phone

(229) 224-4858

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Albert I Richardson, M.D.NPI 1558469981

Title

Owner/MD

Phone

(229) 224-4858

Specialties & licenses 1

Addresses

Tax ID family

Southern Vascular Speciaists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Vascular Specialists LLC

  • Vascular Surgery Physician
  • Thomasville, GA
  • NPI 1194277210
  NPD tax ID

Practitioners 1

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

• Albert I Richardson II, M.D.

  • Vascular Surgery Physician
  • Thomasville, GA
  • NPI 1558469981
  NPD Authorized official

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1770032831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926645",
            "telephone_number": "229-224-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926645",
            "telephone_number": "229-224-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VASCULAR SPECIAISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "229-224-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "055328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• Southern Interventional Pain Center LLC
• Southern Psychological Services
• Southern Scripts, LLC
• Southern Sleep Services
• Southern Vascular Specialists LLC
• Southland Emergency Medical Services, L.L.C
• Southland Hospitalist Group, LLC
• Southwestern State Hospital
• Southwestern State Hospital

• Specialist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.