SOUTHWEST ATLANTA VASCULAR CARE, LLC
NPI 1861933178
Surgery - Vascular Surgery in Atlanta, GA
NPI Status: Active since March 20, 2017
Contact Information
3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331
Phone: (404) 349-7770
Fax: (404) 349-7778
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 11D2129953
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-27-2027
About SOUTHWEST ATLANTA VASCULAR CARE, LLC
This page provides the complete NPI Profile along with additional information for Southwest Atlanta Vascular Care, Llc, a provider established in Atlanta, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1861933178 assigned on March 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Southwest Atlanta Vascular Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lisa Mcnamara (Evp)
- NPI
- 1861933178
- Provider Name
- SOUTHWEST ATLANTA VASCULAR CARE, LLC
- Entity Type
- Organization
- Location Address
- 3885 PRINCETON LAKES WAY SW SUITE 314 ATLANTA, GA 30331
- Location Phone
- (404) 349-7770
- Location Fax
- (404) 349-7778
- Mailing Address
- 9140 CORSEA DEL FONTANA WAY NAPLES, FL 34109
- Mailing Phone
- (239) 597-2010
- Mailing Fax
- (404) 349-7778
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2017
- Last Update Date
- 03-20-2017
- Code Navigator
Location Map
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
- 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) |
|---|---|---|---|---|
| 1 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2129953
- Facility Type
- Physician Office
- Certificate Effective Date
- April 28, 2025
- Certificate Expiration Date
- April 27, 2027
- Laboratory Director
- SHRENIK SHAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwest Atlanta Vascular Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHWEST ATLANTA VASCULAR CARE, LLC
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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. | |||||||||
| 1 | 8 | 6 | 1 | 9 | 3 | 3 | 1 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 18 | 3 | 6 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 8 + 3 + 6 + 1 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1861933178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881729820 | DR. JACQUES LENOEL GORDON DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 3885 PRINCETON LAKES WAY SW STE 408 ATLANTA, GA 30331 (404) 629-6610 |
| 1982818951 | METRO ATLANTA ACCESS CENTER LLC Organization | Internal Medicine (Nephrology) | 3885 PRINCETON LAKES WAY SW SUITE 314 ATLANTA, GA 30331 (404) 349-7770 |
| 1649454265 | PRINCETON LAKES INTERNAL MEDICINE Organization | Specialist | 3885 PRINCETON LAKES WAY SW ATLANTA, GA 30331 (404) 344-0059 |
| 1245490085 | DR. CHARIS JEWELLE TRENCH-SIMMONS M.D. Individual | Obstetrics & Gynecology | 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331 (678) 365-2322 |
| 1073743795 | SOUTHWEST MAXILLOFACIAL SURGERY & IMPLANT CENTER Organization | Dentist (Oral and Maxillofacial Surgery) | 3885 PRINCETON LAKES WAY SW 406 ATLANTA, GA 30331 (404) 629-6610 |
| 1548596588 | CAMP CREEK WOMEN'S HEALTH CENTER, LLC Organization | Obstetrics & Gynecology | 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331 (404) 344-2229 |
| 1407186877 | GRACE MEDICAL PRACTICE LLC Organization | Clinic/Center (Primary Care) | 3885 PRINCETON LAKES WAY SW SUITE 402 ATLANTA, GA 30331 (404) 349-0496 |
| 1811989478 | LISA C PERRY-GILKES M.D. Individual | Otolaryngology | 3885 PRINCETON LAKES WAY SW SUITE 312A ATLANTA, GA 30331 (404) 766-8110 |
| 1316926058 | PICKENS ANDREW PATTERSON III MD Individual | Pain Medicine (Interventional Pain Medicine) | 3885 PRINCETON LAKES WAY SW STE 400 ATLANTA, GA 30331 (678) 733-9666 |
| 1356685390 | CAMP CREEK LLC Organization | Specialist | 3885 PRINCETON LAKES WAY SW STE 400 ATLANTA, GA 30331 (404) 344-6575 |
| 1366841744 | SOUTHERN CRESCENT PHYSICIANS GROUP, INC Organization | Psychiatry & Neurology (Neurology) | 3885 PRINCETON LAKES WAY SW ATLANTA, GA 30331 (770) 996-3190 |
| 1811357080 | S.VAL PLASTIC SURGERY P.C. Organization | Plastic Surgery | 3885 PRINCETON LAKES WAY SW SUITE 312 ATLANTA, GA 30331 (678) 807-4331 |
| 1598127540 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC Organization | Pain Medicine (Interventional Pain Medicine) | 3885 PRINCETON LAKES WAY SW ATLANTA, GA 30331 (770) 929-9033 |
| 1144480146 | SOUTHCARE PHYSICIANS GROUP OBSTETRICS & GYNECOLOGY Organization | Obstetrics & Gynecology | 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331 (404) 466-1006 |
| 1528114295 | PREMIER SOUTH MEDICAL GROUP, P.C. Organization | Family Medicine | 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331 (404) 344-6000 |
| 1447594106 | ISPM ASC AT CAMP CREEK LLC Organization | Clinic/Center (Ambulatory Surgical) | 3885 PRINCETON LAKES WAY SW SUITE 400 ATLANTA, GA 30331 (770) 929-9033 |
| 1942548870 | ISPM ASC AT CAMP CREEK LLC Organization | Clinic/Center (Ambulatory Surgical) | 3885 PRINCETON LAKES WAY SW STE 400 ATLANTA, GA 30331 (404) 920-4950 |
| 1659650372 | MRS. PHAEDRA D SIMMONS CRNA Individual | Nurse Anesthetist, Certified Registered | 3885 PRINCETON LAKES WAY SW ATLANTA, GA 30331 (770) 929-9033 |
| 1205267192 | WELLSTAR MEDICAL GROUP, LLC Organization | Internal Medicine | 3885 PRINCETON LAKES WAY SW SUITE 300 ATLANTA, GA 30331 (404) 344-0059 |
| 1518236645 | PRINCETON LAKES PEDIATRICS, LLC Organization | Pediatrics | 3885 PRINCETON LAKES WAY SW SUITE 302 ATLANTA, GA 30331 (404) 629-1880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861933178, enumerated in the NPI registry as an "organization" on March 20, 2017
The provider is located at 3885 Princeton Lakes Way Sw Suite 314 Atlanta, Ga 30331 and the phone number is (404) 349-7770
This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider's CLIA number is 11D2129953 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 20, 2017. 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].
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