Prevosti Vein Center LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

PREVOSTI VEIN CENTER LLC

Practice address

147 Reinhardt College Pkwy Ste 10
Canton, GA 30114-5295

Phone

(470) 567-9047

Fax

(470) 567-9047

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Louis Gregory Prevosti, DONPI 1063477222

Title

Owner

Phone

(404) 556-9587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Louis G Prevosti, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Canton, GA
  • NPI 1063477222
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1881484350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY STE 10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145295",
            "telephone_number": "470-567-9047",
            "fax_number": "470-567-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY STE 10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145295",
            "telephone_number": "470-567-9047",
            "fax_number": "470-567-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVOSTI VEIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "PREVOSTI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-556-9587",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Canton, GA
• Providers in Canton, GA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.