DR. C'S ATLANTA VASCULAR CENTER, LLC
NPI 1174036313
Radiology - Vascular & Interventional Radiology in Loganville, GA

Active since November 09, 2017
4480 ATLANTA HWY, LOGANVILLE, GA 30052(678) 910-7228 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2023, Mar 21, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. C's Atlanta Vascular Center, Llc NPPES

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

DR. C'S ATLANTA VASCULAR CENTER, LLC (NPI 1174036313) is a healthcare organization registered as a vascular & interventional radiology in Loganville, Georgia and active in the NPI registry since November 2017. The organization maintains 2 additional practice locations and lists Udaya B Chintalapudi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174036313
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameDR. C'S ATLANTA VASCULAR CENTER, LLC
Location Address4480 ATLANTA HWYLoganville, GA 30052-7313
Mailing Address4480 Atlanta HwyLoganville, GA 30052-7313
Organization SubpartNo
Authorized OfficialUdaya B ChintalapudiMedical Director · (470) 509-4200
Enumeration DateNovember 9, 2017
Last NPPES UpdateSeptember 4, 20234 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1174036313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
4480 ATLANTA HWY, Loganville, GA 30052

Secondary Practice Locations 2

Location 14480 Atlanta HwyLoganville, GA 30052-7313 · Phone (678) 910-7228
Location 2748 Old Norcross Rd Ste 150Lawrenceville, GA 30046-3395 · Phone (470) 509-4200

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. C's Atlanta Vascular Center, Llc 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 Dr. C's Atlanta Vascular Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Radiology
NPI 1740247055
4480 ATLANTA HWY
Loganville, GA 30052
(470) 509-4200
✔ PECOS✔ Accepts MedicareSame address

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 Dr. C's Atlanta Vascular Center, LLC's NPI number?

The NPI number for Dr. C's Atlanta Vascular Center, LLC is 1174036313. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Dr. C's Atlanta Vascular Center, LLC located?

Dr. C's Atlanta Vascular Center, LLC is located at 4480 Atlanta Hwy, Loganville, GA 30052. The listed phone number is (678) 910-7228.

What is Dr. C's Atlanta Vascular Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Dr. C's Atlanta Vascular Center, LLC enrolled in Medicare?

Yes. Dr. C's Atlanta Vascular Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. C's Atlanta Vascular Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Dr. C's Atlanta Vascular Center, 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.

When was this NPI record last updated?

The NPPES record for Dr. C's Atlanta Vascular Center, LLC was last updated on September 4, 2023. 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.