NPIMap

Organization Active NPI

Comprehensive Vascular Care, LLC

  • Vascular Surgery Physician
  • Dalton, GA
National Provider Identifier
1922169846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
047329 Issued in GA
Legal business name
COMPREHENSIVE VASCULAR CARE, LLC
Practice address
1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094
Phone
(706) 259-3336
Fax
(706) 370-7715
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ian Neil Hamilton Jr., M.D.NPI 1396726683
Title
Owner
Phone
(706) 259-3336

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 047329 GA Primary

Addresses

Primary practice location

1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094

Mailing address

1109 Burleyson Rd
Suite 202
Dalton, GA 30720-3094
Phone (706) 259-3336

Other identifiers 2

IdentifierTypeStateIssuer
RN123324OtherGASHULER STATE LICENSE
047329OtherGASTATE LICENSE ID

National Provider Directory

National Provider Directory

Locations

1109 Burleyson Rd
Ste 202
Dalton, GA 30720
Phone (706) 259-3336

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCBEBA

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922169846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON RD",
            "address_2": "SUITE 202",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203094",
            "telephone_number": "706-259-3336",
            "fax_number": "706-370-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON RD",
            "address_2": "SUITE 202",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203094",
            "telephone_number": "706-259-3336",
            "fax_number": "706-370-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE VASCULAR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-259-3336",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "047329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHULER STATE LICENSE",
            "identifier": "RN123324",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE ID",
            "identifier": "047329",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • 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.