GEORGIA VASCULAR INSTITUTE, LLC


Address: 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886
Phone: 7705064007

GEORGIA VASCULAR INSTITUTE, LLC (NPI# 1912136524) 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) 1912136524
Entity Type Organization
Organization Name GEORGIA VASCULAR INSTITUTE, LLC
Practice Address 7823 Spivey Station Blvd
Suite 300
Jonesboro
GA 30236-2886
Practice Telephone 7705064007
Practice Fax Number 6786233543
Mailing Telephone 7705064007
Mailing Fax Number 6786233543
Enumeration Date 2009-07-06
Last Update Date 2009-07-06
Authorized Official Name MS. PAMELA R STONEBURNER (ADMINISTRATOR)
Authorized Official Telephone 7705067004
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 7823 SPIVEY STATION BLVD
SUITE 300
City JONESBORO
State GA
Zip Code 30236-2886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972605418 Syed Sajid Hasan Psychiatry & Neurology 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 2006-09-04
1437698776 Orthopedic Solutions, PC Orthopaedic Surgery 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2017-02-20
1699221648 Northside Hospital Inc Clinic/Center 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 2016-08-30
1063968022 Rebecca Mcphail Physician Assistant 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 2016-08-30
1437546819 Bethany Kinsey Jagdharry Nurse Practitioner 7823 Spivey Station Blvd, Jonesboro, GA 30236 2015-04-23
1861891723 Southern Crescent Physicians Group, Inc. Surgery 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2014-08-17
1649521717 Nsh Cancer Institute Professional Services G, LLC Durable Medical Equipment & Medical Supplies 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2012-09-28
1922267129 Southern Crescent Primary Care Internal Medicine 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 2008-06-03
1649441296 Georgia Cancer Specialists I, PC Internal Medicine 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2008-03-21
1356555718 Jason Adam Bitkowski Surgery 7823 Spivey Station Blvd, Suite 200, Jonesboro, GA 30236-2886 2007-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578982526 John Clifton Faircloth Radiology 800 S Chuch St, Suite 101, Jonesboro, AR 72401 2014-04-07
1083053615 Caraway Medical Center Radiology 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 2013-06-17
1184984155 Holly Jo Gonzales Radiology 800 S Church St Ste 101, Jonesboro, AR 72401 2012-05-23
1922121698 Wolf E Heberlein Radiology 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 2007-04-09
1023074002 Jeff Mullen Radiology 3100 Apache Dr, Suite C1, Jonesboro, AR 72401-7404 2006-04-26
1376506980 St.bernards Imaging Center Radiology 1144 E Matthews Ave, Jonesboro, AR 72401-4314 2006-04-07
1518961580 John Kenneth Phillips Radiology 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2005-06-08
1609878867 Richard R Reinholtz Radiology 225 E Jackson Ave, Jonesboro, AR 72401-3119 2005-06-01
1679715130 Ezekiel Elliott Shotts Radiology 4800 E Johnson Ave, Jonesboro, AR 72401-8413 2009-03-30
1356516330 Angela V Frost Radiology 4802 E Johnson Ave, Jonesboro, AR 72401-8413 2008-04-29
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Competitor

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City JONESBORO
Zip Code 30236

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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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