NORTHWEST ATLANTA VASCULAR CARE LLC


Address: 711 Canton Rd Ne Ste 230, Marietta, GA 30060-8949
Phone: 4045542196

NORTHWEST ATLANTA VASCULAR CARE LLC (NPI# 1770004772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770004772
Entity Type Organization
Organization Name NORTHWEST ATLANTA VASCULAR CARE LLC
Practice Address 711 Canton Rd Ne Ste 230
Marietta
GA 30060-8949
Mailing Address 9140 Corsea Del Fontana Way
Naples
FL 34109-4397
Practice Telephone 4045542196
Practice Fax Number 4045542415
Mailing Telephone 2395972010
Mailing Fax Number 2395972313
Enumeration Date 2017-06-29
Last Update Date 2018-11-14
Authorized Official Name LISA MCNAMARA (EVP)
Authorized Official Telephone 2395972010
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
790 Church St Ne Ste 510, Marietta, GA 300608957 4045542196 4045542415

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861766636 Northwest Atlanta Vascular Care LLC Radiology 711 Canton Rd Ne Ste 220, Marietta, GA 30060-8949 2012-02-26

Office Location

Street Address 711 CANTON RD NE STE 230
City MARIETTA
State GA
Zip Code 30060-8949

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285108845 Marietta Advanced Surgery Center Clinic/Center 1371 Church Street Ext Ne Ste 100, Marietta, GA 30060-7913 2019-01-17
1700369071 Alliance Surgery Center At Marietta, LLC Clinic/Center 400 Tower Rd Ne Ste 375, Marietta, GA 30060-9417 2018-09-12
1952814352 Medici Surgical Center, LLC Clinic/Center 792 Church St Ne Ste 101, Marietta, GA 30060-7291 2017-11-08
1568864452 Carpus Surgery Center LLC Clinic/Center 3775 Roswell Rd, Suite 275, Marietta, GA 30062-8836 2014-09-23
1881001758 Asuch Surgery Center Clinic/Center 2285 Asquith Ave Sw, Suite 100, Marietta, GA 30008-6008 2014-07-12
1235559378 Skin Cancer Specialists Surgery Center, LLC Clinic/Center 835 Cogburn Ave Nw, Suite 200, Marietta, GA 30060-1031 2014-04-16
1801224167 Roquin Pain Center Clinic/Center 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 2013-10-24
1750629325 Premier Ambulatory Surgical Center, LLC Clinic/Center 211 Chicopee Dr Ne, Marietta, GA 30060-1269 2013-01-16
1639499627 Georgia Urology, Pa Clinic/Center 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 2010-06-02
1538306709 Georgia Electro Diagnostic Providers P.C. Clinic/Center 2550 Windy Hill Rd, Suite 215, Marietta, GA 30067-8654 2009-01-09
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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