NPIMap

Organization Active NPI

LVD Surgical Associates

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1982958591
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
053131 Issued in GA
Legal business name
LVD SURGICAL ASSOCIATES
Practice address
1 Baltimore PL NW
Atlanta, GA 30308-2116
Phone
(404) 815-7951
Fax
(404) 815-7953
NPI assigned
Nov 5, 2012
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Latara V Demps, MDNPI 1457361206
Title
MD
Phone
(404) 815-7951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 053131 GA Primary

Addresses

Primary practice location

1 Baltimore PL NW
Atlanta, GA 30308-2116

Mailing address

939 Queensbrooke Way
Mableton, GA 30126-6413

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1285
Atlanta, GA 30308
Phone (404) 815-7951

Practitioners & affiliated clinicians

Practitioners 1

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": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1982958591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 QUEENSBROOKE WAY",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "404-815-7951",
            "fax_number": "404-815-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVD SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "DEMPS",
        "authorized_official_first_name": "LATARA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-815-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "053131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.