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ATLANTA VASCULAR SPECIALISTS
NPI 1568670180
Specialist in Atlanta, GA

Active since May 18, 2007
315 BOULEVARD, N.E. 412, ATLANTA, GA 30312(404) 524-0095(404) 658-9558 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Atlanta Vascular Specialists NPPES

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

ATLANTA VASCULAR SPECIALISTS (NPI 1568670180) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Connie Dillard, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1568670180
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROSENTHAL, CLARK AND MATSURRA
Location Address315 BOULEVARD, N.E. 412Atlanta, GA 30312-1264
Mailing Address315 Boulevard Ne, N.e. 412Atlanta, GA 30312-1200 · (404) 524-0095 · Fax (404) 658-9558
Phone(404) 524-0095
Fax(404) 658-9558
Organization SubpartNo
Authorized OfficialConnie DillardPractice Administrator · (404) 524-0095
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 26, 2011
✔ NPI 1568670180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
315 BOULEVARD, Atlanta, GA 30312
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Other Names 1

Other NameAtlanta Vascular Specialists

Other Identifiers 2

Medicaid055001472AGA
Medicare PINGRP3120GA

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)

Atlanta Vascular Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Atlanta Vascular Specialists, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

John Dooley, M.D.
Vascular Surgery
NPI 1659682060
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4411
✔ PECOS✔ Accepts Medicare1.3 mi
Morgan Williams
Nurse Practitioner
NPI 1437779436
874 LANIER AVE W STE 220
Fayetteville, GA 30214
(678) 833-1444
✔ PECOS✔ Accepts Medicare21 mi
Margaret Johnson
Vascular Surgery
NPI 1144727785
2201 NEWNAN CROSSING BLVD E STE 200
Newnan, GA 30265
(404) 524-0095
✔ PECOS✔ Accepts Medicare34 mi
Denise Hinton, NP
Nurse Practitioner
NPI 1518473693
745 POPLAR RD
Newnan, GA 30265
(770) 400-2120
✔ PECOS✔ Accepts Medicare34 mi
James Combs, M.D.
Vascular Surgery
NPI 1548418684
775 POPLAR RD SUITE 260
Newnan, GA 30265
(404) 524-0095
✔ PECOS✔ Accepts Medicare35 mi
Eric Wellons, M.D.
Vascular Surgery
NPI 1790761799
775 POPLAR RD SUITE 260
Newnan, GA 30265
(404) 524-0095
✔ PECOS✔ Accepts Medicare35 mi
Courtney Grant, M.D.
Vascular Surgery
NPI 1033557459
725 JESSE JEWELL PKWY SE
Gainesville, GA 30501
(678) 207-4000
✔ PECOS✔ Accepts Medicare50 mi

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 Rosenthal, Clark And Matsurra's NPI number?

The NPI number for Rosenthal, Clark And Matsurra is 1568670180. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is also known as Atlanta Vascular Specialists.

Where is Rosenthal, Clark And Matsurra located?

Rosenthal, Clark And Matsurra is located at 315 Boulevard N.E. 412, Atlanta, GA 30312. The listed phone number is (404) 524-0095.

What is Rosenthal, Clark And Matsurra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Rosenthal, Clark And Matsurra enrolled in Medicare?

Yes. Rosenthal, Clark And Matsurra is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosenthal, Clark And Matsurra?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Rosenthal, Clark And Matsurra. 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. The largest specialties are Vascular Surgery (5) and Nurse Practitioner (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosenthal, Clark And Matsurra was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.