SOUTH ATLANTA VASCULAR INSTITUTE, LLC
NPI 1063903078
Surgery - Vascular Surgery in Powder Springs, GA

Q: What is South Atlanta Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since May 24, 2018

4714 OAKLEIGH MANOR DR, POWDER SPRINGS, GA 30127(770) 688-5334 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Atlanta Vascular Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH ATLANTA VASCULAR INSTITUTE, LLC (NPI 1063903078) is a healthcare organization registered as a vascular surgery in Powder Springs, Georgia and active in the NPI registry since May 2018. The organization lists David William Allison, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063903078

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSOUTH ATLANTA VASCULAR INSTITUTE, LLC

Location Address4714 OAKLEIGH MANOR DRPowder Springs, GA 30127-4923

Mailing Address4714 Oakleigh Manor DrPowder Springs, GA 30127-4923 · (770) 688-5334

Phone(770) 688-5334

Organization SubpartNo

Authorized OfficialDavid William AllisonManaging Member · (770) 405-8496

Enumeration DateMay 24, 2018

✔ NPI 1063903078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in GA · 66855

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 70519 (GA)

4714 OAKLEIGH MANOR DR, Powder Springs, GA 30127

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Other Identifiers 3

Medicaid1598965006GA

Medicaid1760644355MA

Medicaid1386869535TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Atlanta Vascular Institute, LLC's NPI number?

The NPI number for South Atlanta Vascular Institute, LLC is 1063903078. It was assigned to this organization in the NPPES registry on May 24, 2018.

Where is South Atlanta Vascular Institute, LLC located?

South Atlanta Vascular Institute, LLC is located at 4714 Oakleigh Manor Dr, Powder Springs, GA 30127. The listed phone number is (770) 688-5334.

What is South Atlanta Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does South Atlanta Vascular Institute, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list South Atlanta Vascular Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Atlanta Vascular Institute, LLC was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.