Endovascular Therapy and Vascular Surgery of Ga

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ENDOVASCULAR THERAPY AND VASCULAR SURGERY OF GA

Practice address

4450 Calibre Crossing Suite 1122
Governors Pavilion BLDG
Acworth, GA 30101-0000

Phone

(850) 267-1040

Fax

(866) 799-9384

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Martin Carignan, M.D.

Title

Medical Doctor

Phone

(850) 267-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1861647414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE CROSSING SUITE 1122",
            "address_2": "GOVERNORS PAVILION BLDG",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010000",
            "telephone_number": "850-267-1040",
            "fax_number": "866-799-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE CROSSING SUITE 1122",
            "address_2": "GOVERNORS PAVILION BLDG",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010000",
            "telephone_number": "850-267-1040",
            "fax_number": "866-799-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR THERAPY AND VASCULAR SURGERY OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "CARIGNAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "850-267-1040",
        "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": []
}

• Deloris R. Elliott, LISW
• Shelley Jo Elliott, LCSW
• Eloquent Health LLC
• James Elsbree, MD
• Angela Emanuel Morris
• Ashley Ervin
• Carlos Alberto Escobar, NP-C
• Nicole James Escobar, LMT
• Adewale A Esho, B.PHARM
• Imonee Evans

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.