Vascular Medicine and Surgery Specialist of Atlanta,L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C.

Practice address

2675 N Decatur Rd
Suite 410
Decatur, GA 30033-6131

Phone

(404) 299-6488

Fax

(404) 299-7522

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By 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

Dr. Kellie A Rose, M.D.

Title

Owner/Office Manager

Phone

(404) 299-6488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821108382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 410",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-6488",
            "fax_number": "404-299-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 410",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-6488",
            "fax_number": "404-299-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "404-299-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Varghese, M.D.
• Anjana Varma, MMSC
• Vijay Alluri Varma, M.D.
• Tiffany Varner
• Joby Varughese
• Marie-Lyne Vaudran
• Michael Roy Vaughn, M.D.
• Sally Vaughn, RADIOLOGIC TECH
• Vincent Craig Vaughters, D.D.S.
• Vauleet's Personal Care Home, LLC (Vauleet's Home Care Agency)

• Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Specialist 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.