VASCULAR DISEASE INSTITUTE, PC
NPI 1861568040
Surgery - Vascular Surgery in Gainesville, GA

NPI Status: Active since November 28, 2006

Contact Information

1250 JESSE JEWELL PKWY SE
SUITE 300
GAINESVILLE, GA
ZIP 30501
Phone: (770) 534-0110
Fax: (770) 534-2555

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  • Organization
  • Surgery
  • Vascular Surgery

About VASCULAR DISEASE INSTITUTE, PC

This page provides the complete NPI Profile along with additional information for Vascular Disease Institute, Pc, a provider established in Gainesville, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1861568040 assigned on November 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 035736 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Vascular Disease Institute, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Vascular Disease Institute, Pc. The authorized official of this NPI record is Ms. Amy D Seabolt Bsba (Business Office Manager)

NPI
1861568040
Provider Legal Name
SURGICAL SPECIALISTS OF GEORGIA, PC
Other Organization Name
VASCULAR DISEASE INSTITUTE, PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1250 JESSE JEWELL PKWY SE SUITE 300 GAINESVILLE, GA 30501
Location Phone
(770) 534-0110
Location Fax
(770) 534-2555
Mailing Address
1250 JESSE JEWELL PKWY SE SUITE 300 GAINESVILLE, GA 30501
Mailing Phone
(770) 534-0110
Mailing Fax
(770) 534-2555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2006
Last Update Date
07-10-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
035736
License State
GA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

050992 (GA)
2208600000XAllopathic & Osteopathic Physicians

Surgery

059108 (GA)
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

RN171688NP (GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AMY D SEABOLT BSBA

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(770) 534-0110

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP4287MEDICARE ID-TYPE UNSPECIFIED (04)GAMEDICARE GROUP #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861568040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211061608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 6 + 1 + 6 + 0 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1861568040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306823455S.Y.A.H.
Organization
Clinic/Center (Urgent Care)1250 JESSE JEWELL PKWY SE SUITE 400
GAINESVILLE, GA 30501
(770) 532-0800
1891071338 SHEENAGH PARKER KING RD, LD
Individual
Dietitian, Registered1250 JESSE JEWELL PKWY SE STE 300
GAINESVILLE, GA 30501
(770) 534-0110
1134195092 APRIL J. BUSSOLETTI NP
Individual
Nurse Practitioner1250 JESSE JEWELL PKWY SE SUITE 200
GAINESVILLE, GA 30501
(770) 297-7277
1407215817SKIN CENTER OF GEORGIA, PC
Organization
Dermatology1250 JESSE JEWELL PKWY SE SUITE 500
GAINESVILLE, GA 30501
(770) 535-7546
1659589992 OLGA FINGERMAN NP
Individual
Nurse Practitioner1250 JESSE JEWELL PKWY SE STE 200
GAINESVILLE, GA 30501
(770) 297-7277
1871061408 CARRIE ELIZABETH DAVIS FNP-BC
Individual
Nurse Practitioner (Family)1250 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
(770) 532-0800
1457553968GAINESVILLE IMAGING ASSOCIATES PC
Organization
Radiology (Diagnostic Radiology)1250 JESSE JEWELL PKWY SE STE. 500
GAINESVILLE, GA 30501
(770) 532-9936
1164661831GAINESVILLE PAIN SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)1250 JESSE JEWELL PKWY SE SUITE 100
GAINESVILLE, GA 30501
(770) 297-7277
1649223173GAINESVILLE SURGICAL ASSOCIATES, LLC
Organization
Surgery1250 JESSE JEWELL PKWY SE SUITE 200
GAINESVILLE, GA 30501
(770) 532-6341
1447359112SPECIALTY SPINE AND PAIN PC
Organization
Specialist1250 JESSE JEWELL PKWY SE STE 200
GAINESVILLE, GA 30501
(770) 297-7277
1184754210 KASEY L BOLTON PNP
Individual
Nurse Practitioner1250 JESSE JEWELL PKWY SE STE 200
GAINESVILLE, GA 30501
(770) 297-7277
1215371380 USMAN CHOUDHRY DO
Individual
Physical Medicine & Rehabilitation1250 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
(765) 935-8866
1528520947 SALIMA DEWANI FNP
Individual
Nurse Practitioner (Family)1250 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
(706) 658-6815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861568040, enumerated in the NPI registry as an "organization" on November 28, 2006

The provider is located at 1250 Jesse Jewell Pkwy Se Suite 300 Gainesville, Ga 30501 and the phone number is (770) 534-0110

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.