NPIMap

Organization Active NPI

USA Vein Clinics of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
National Provider Identifier
1912301003
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VEIN CLINICS OF DECATUR LLC
Practice address
495 Winn Way
Suite 220
Decatur, GA 30030-1736
Phone
(847) 305-3346
NPI assigned
Oct 17, 2014
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Yan Katsnelson, M.D.NPI 1285672840
Title
Owner
Phone
(847) 305-3346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Surgery Physician 208600000X NU
Surgical Critical Care Physician 2086S0102X NU
Vascular Surgery Physician 2086S0129X NU Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

495 Winn Way
Suite 220
Decatur, GA 30030-1736

Mailing address

495 Winn Way
Suite 220
Decatur, GA 30030-1736
Phone (847) 305-3346

Other practice location 1

305 Brookhaven Ave NE Ste B1180C
Brookhaven, GA 30319-3253
Phone (404) 705-9099

Other practice location 2

1300 Ernest W Barrett Pkwy NW Ste 230C
Kennesaw, GA 30152-5005
Phone (678) 385-4670

Other practice location 3

1800 Howell Mill Rd NW Ste 130
Atlanta, GA 30318-0916
Phone (404) 532-1564

Other practice location 4

1200 Johnson Ferry Rd Ste T-100
Marietta, GA 30068-5403
Phone (404) 418-4648

Other practice location 5

3875 Austell Rd Ste 201B
Austell, GA 30106-1153
Phone (470) 372-1042

Other practice location 6

771 Old Norcross Rd Ste 340C
Lawrenceville, GA 30046-4386
Phone (678) 273-7506

Other practice location 7

2775 Old Milton Pkwy Ste 200C
Alpharetta, GA 30009-2212
Phone (678) 273-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150316000937 GA Part B Supplier - Clinic/Group Practice 9931426749 Receives reassigned benefits from 20 practitioners
Practice locations: Alpharetta, GA; Atlanta, GA; Austell, GA; Brookhaven, GA; Decatur, GA; Kennesaw, GA; Lawrenceville, GA; Marietta, GA

National Provider Directory

National Provider Directory

Locations

2775 Old Milton Pkwy
Ste 200C
Alpharetta, GA 30009
Phone (678) 273-7795

1800 Howell Mill Rd NW
Ste 130
Atlanta, GA 30318
Phone (404) 355-8775

264 19th St NW
Ste 2240C
Atlanta, GA 30363
Phone (404) 532-1564

3875 Austell Rd
Ste 201B
Austell, GA 30106
Phone (470) 372-1042

495 Winn Way
Ste 220
Decatur, GA 30030
Phone (404) 418-4328

1300 Ernest W Barrett Pkwy NW
Ste 230C
Kennesaw, GA 30152
Phone (678) 385-4670

771 Old Norcross Rd
Ste 340C
Lawrenceville, GA 30046
Phone (678) 273-7506

1200 Johnson Ferry Rd
Ste T100
Marietta, GA 30068
Phone (404) 418-4648

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1912301003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WINN WAY",
            "address_2": "SUITE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301736",
            "telephone_number": "847-305-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WINN WAY",
            "address_2": "SUITE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301736",
            "telephone_number": "847-305-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Brookhaven Ave NE Ste B1180C",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303193253",
            "country_code": "US",
            "telephone_number": "404-705-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Ernest W Barrett Pkwy NW Ste 230C",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301525005",
            "country_code": "US",
            "telephone_number": "678-385-4670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell Mill Rd NW Ste 130",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303180916",
            "country_code": "US",
            "telephone_number": "404-532-1564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Johnson Ferry Rd Ste T-100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685403",
            "country_code": "US",
            "telephone_number": "404-418-4648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3875 Austell Rd Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061153",
            "country_code": "US",
            "telephone_number": "470-372-1042",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 Old Norcross Rd Ste 340C",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464386",
            "country_code": "US",
            "telephone_number": "678-273-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2775 Old Milton Pkwy Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092212",
            "country_code": "US",
            "telephone_number": "678-273-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA VEIN CLINICS OF DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-305-3346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.