ATLANTA VASCULAR SURGERY
NPI 1285114363
Surgery - Vascular Surgery in Atlanta, GA

Active since August 17, 2018
1002 LINDBERGH DR NE, ATLANTA, GA 30324(770) 628-2855 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery
  • Vascular Surgery

About ATLANTA VASCULAR SURGERY

This page provides the complete NPI Profile along with additional information for Atlanta Vascular Surgery, a provider established in Atlanta, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1285114363 assigned on August 2018. The practitioner's primary taxonomy code is 2086S0129X with license number 38932 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is James P Rielly Md (Owner)

NPI
1285114363 Verify this NPI
Provider Name
ATLANTA VASCULAR SURGERY
Entity Type
Organization
Location Address
1002 LINDBERGH DR NE ATLANTA, GA 30324
Location Phone
(770) 628-2855
Mailing Address
1002 LINDBERGH DR NE ATLANTA, GA 30324
Mailing Phone
(917) 520-7858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2018
Last Update Date
08-17-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
38932
License State
GA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES P RIELLY MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 628-2855

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285114363, enumerated as an "organization" on August 17, 2018.

The provider is located at 1002 LINDBERGH DR NE ATLANTA, GA 30324 and the phone number is (770) 628-2855.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.