ATLANTA VEIN SPECIALISTS
NPI 1104076009
Clinic/Center - Ambulatory Surgical in Suwanee, GA
About Atlanta Vein Specialists NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTA VEIN SPECIALISTS (NPI 1104076009) is a healthcare organization registered as an ambulatory surgical in Suwanee, Georgia and active in the NPI registry since September 2008. The organization lists Chalam Mahadevan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlanta Vein Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Atlanta Vein Specialists, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Atlanta Vein Clinic, LLC's NPI number?
The NPI number for Atlanta Vein Clinic, LLC is 1104076009. It was assigned to this organization in the NPPES registry on September 26, 2008. The provider is doing business as Atlanta Vein Specialists.
Where is Atlanta Vein Clinic, LLC located?
Atlanta Vein Clinic, LLC is located at 4060 Johns Creek Pkwy Building E, Suwanee, GA 30024. The listed phone number is (404) 805-6167.
What is Atlanta Vein Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Atlanta Vein Clinic, LLC enrolled in Medicare?
Yes. Atlanta Vein Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlanta Vein Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Atlanta Vein Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Atlanta Vein Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta Vein Clinic, 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 Atlanta Vein Clinic, LLC was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Atlanta Vein Specialists · NPI 1104076009
Ambulatory Surgical organization in Suwanee, Georgia. Organization record, active in the CMS NPPES registry since September 26, 2008.
## Identity
- **NPI:** 1104076009 (Entity type: Organization)
- **Enumerated:** September 26, 2008
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Atlanta Vein Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Chalam Mahadevan, OWNER
## Practice location
- **Address:** 4060 JOHNS CREEK PKWY, BUILDING E, Suwanee, GA 30024-1230
- **Phone:** (404) 805-6167
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2022
- **Other identifiers:** Other 1447463609 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104076009) · Data from the CMS NPPES public registry.