Comprehensive Vascular Surgery of Georgia

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

263703 Issued in GA

Legal business name

COMPREHENSIVE VASCULAR SURGERY OF GEORGIA

Practice address

150 Country Club Dr
Suite 100
Stockbridge, GA 30281-7344

Phone

(770) 474-3882

Fax

(770) 474-9392

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Pearl E Asche Crowe, P.A.

Title

Practice Coordinator

Phone

(770) 474-3882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• William Augustus Brown Jr., M.D.

  • Vascular Surgery Physician
  • Portsmouth, VA
  • NPI 1699803940
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1902864291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817344",
            "telephone_number": "770-474-3882",
            "fax_number": "770-474-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817344",
            "telephone_number": "770-474-3882",
            "fax_number": "770-474-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE VASCULAR SURGERY OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "ASCHE CROWE",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "770-474-3882",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "263703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030828A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Colvin
• Delaney Coman
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• Complete Family Care LLC
• Comprehensive Speech Solutions, LLC
• Connections and Changes,Inc.
• Constant Care EMS LLC
• Chandler Douglas Cook, DC
• Coolshirt Systems, LLC
• Alicia Denise Williams Cooper, PHARMD

• Vascular Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.