ADVANCED VASCULAR RESOURCES OF ATLANTA LLC (NPI# 1881035061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881035061 |
| Entity Type | Organization |
| Organization Name | ADVANCED VASCULAR RESOURCES OF ATLANTA LLC |
| Other Organization Name | AVR OF ATLANTA |
| Practice Address |
1938 Peachtree Rd Nw Suite L5 Atlanta GA 30309-1267 |
| Mailing Address |
20032 Northville Hills Ter Ashburn VA 20147-7020 |
| Practice Telephone | 6788312722 |
| Practice Fax Number | 6789995055 |
| Mailing Telephone | 7039946655 |
| Mailing Fax Number | 5712912752 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-10-23 |
| Authorized Official Name | MOBUSHER MAHMUD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7039946655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AVR of Atlanta | Other Name - Individual/Organization |
| Street Address |
1938 PEACHTREE RD NW SUITE L5 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709313 | Candace Mccullough Nichols | Pharmacist | 1938 Peachtree Rd Nw, Atlanta, GA 30309-1267 | 2005-08-31 |
| 1508242546 | Village Podiatry Group, LLC. | Internal Medicine | 1938 Peachtree Rd Nw, Ste. L-5, Atlanta, GA 30309-1267 | 2015-07-31 |
| 1346625506 | Christopher Harvey, Md, LLC | Obstetrics & Gynecology | 1938 Peachtree Rd Nw, Suite 407, Atlanta, GA 30309-1267 | 2015-07-29 |
| 1174966675 | Thy Trinh | Pharmacist | 1938 Peachtree Rd Nw, Suite 205, Atlanta, GA 30309-1267 | 2013-04-15 |
| 1801140223 | Samantha Nowak | Physician Assistant | 1938 Peachtree Rd Nw, Suite 610, Atlanta, GA 30309-1267 | 2012-11-07 |
| 1275841215 | Atlanta Spine and Alternative Pain Management Center, LLC | Physical Medicine & Rehabilitation | 1938 Peachtree Rd Nw, Suite 610, Atlanta, GA 30309-1267 | 2010-09-23 |
| 1265764302 | United Seating and Mobility | Durable Medical Equipment & Medical Supplies | 1938 Peachtree Rd Nw, Suite L3, Atlanta, GA 30309-1267 | 2010-01-30 |
| 1467699462 | Sue S O'kelley | Social Worker | 1938 Peachtree Rd Nw, Suite 107, Atlanta, GA 30309-1267 | 2009-01-13 |
| 1134248404 | Tommy L. Owens | Dentist | 1938 Peachtree Rd Nw, Suite 307, Atlanta, GA 30309-1267 | 2007-03-28 |
| 1811016181 | Marion W. Stafford | Dentist | 1938 Peachtree Rd Nw, Suite 307, Atlanta, GA 30309-1267 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
| 1821082389 | Jack P Chen | Internal Medicine | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | 2005-09-09 |
| 1861004780 | Innovative Vascular & Vein of Atlanta | Internal Medicine | 1100 Lake Hearn Dr, Atlanta, GA 30342-1523 | 2020-08-21 |
| 1053874727 | Cga Care of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1790248474 | Cga Care of Ga II, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1427577592 | David Allen | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309-1705 | 2017-09-11 |
| 1366605552 | Pradeep Yadav | Internal Medicine | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2008-07-08 |
| 1396807798 | Del Mazo Medical Services | Internal Medicine | 550 Peachtree St Ne, Suite 1035, Atlanta, GA 30308-2221 | 2006-12-14 |
| 1245316496 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 200, Atlanta, GA 30342-2606 | 2006-10-31 |
| 1497840144 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 100, Atlanta, GA 30342-2606 | 2006-10-04 |
| Find all providers in ATLANTA | ||||
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| 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.