Southeast Atlanta Vascular Care, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHEAST ATLANTA VASCULAR CARE, LLC

Practice address

5461 Hillandale Dr
Suite 210
Lithonia, GA 30058-4841

Phone

(770) 981-8477

Fax

(770) 981-8908

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Lisa McNamara

Title

Evp

Phone

(239) 597-2010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1922549237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "239-597-2010",
            "fax_number": "239-597-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 HILLANDALE DR",
            "address_2": "SUITE 210",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584841",
            "telephone_number": "770-981-8477",
            "fax_number": "770-981-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ATLANTA VASCULAR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "239-597-2010"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• So Vein Diagnostics LLC
• Chloe Sondler, DPT
• South Dekalb Center for Healthy Living
• Southeast Atlanta Vascular Care, LLC
• Southeast Atlanta Vascular Care, LLC
• Southern Eye Excellence, LLC
• Southpoint Eye Care PC
• Brooks Spears III, RBT
• Speech Therepeze
• L. Lynn Spencer

• Vascular Surgery Physician in Lithonia, GA
• Providers in Lithonia, 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 Mar 20, 2017; 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.