1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Surgery
  6. NPI Profile

NORTHEAST ATLANTA VASCULAR CARE, LLC
NPI 1417229741
Surgery - Vascular Surgery in Atlanta, GA

Active since February 01, 2012
1 DUNWOODY PARK STE 130, ATLANTA, GA 30338(239) 597-2010(239) 597-2313 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2022, Jul 2, 2018 (2 updates tracked since 2018).

About Northeast Atlanta Vascular Care, Llc NPPES

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

NORTHEAST ATLANTA VASCULAR CARE, LLC (NPI 1417229741) is a healthcare organization registered as a vascular surgery in Atlanta, Georgia and active in the NPI registry since February 2012. The organization lists Lisa Mcnamara, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417229741
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTHEAST ATLANTA VASCULAR CARE, LLC
Location Address1 DUNWOODY PARK STE 130Atlanta, GA 30338-6714
Mailing Address9140 Corsea Del Fontana WayNaples, FL 34109-4397 · (239) 597-2010 · Fax (239) 597-2313
Phone(239) 597-2010
Fax(239) 597-2313
Organization SubpartNo
Authorized OfficialLisa McnamaraCfo · (239) 597-2010
Enumeration DateFebruary 1, 2012
Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1417229741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
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
1 DUNWOODY PARK STE 130, Atlanta, GA 30338
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST ATLANTA VASCULAR CARE, LLC
Clinic/Center (Ambulatory Surgical)
1 DUNWOODY PARK STE 130
ATLANTA, GA 30338
Dekalb County (404) 554-2080

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 Northeast Atlanta Vascular Care, LLC's NPI number?

The NPI number for Northeast Atlanta Vascular Care, LLC is 1417229741. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Northeast Atlanta Vascular Care, LLC located?

Northeast Atlanta Vascular Care, LLC is located at 1 Dunwoody Park Ste 130, Atlanta, GA 30338. The listed phone number is (239) 597-2010.

What is Northeast Atlanta Vascular Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northeast Atlanta Vascular Care, LLC was last updated on September 6, 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.