PREFERRED VASCULAR SERVICES NORTHWEST, LLC
NPI 1598037822
Surgery - Vascular Surgery in Marietta, GA

NPI Status: Active since February 01, 2012

Contact Information

711 CANTON RD NE STE 220
MARIETTA, GA
ZIP 30060
Phone: (404) 554-2196
Fax: (404) 597-2313

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  • Organization
  • Surgery
  • Vascular Surgery
  • Accepts Insurance
  • CLIA Number: 11D2198332
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-01-2026

About PREFERRED VASCULAR SERVICES NORTHWEST, LLC

This page provides the complete NPI Profile along with additional information for Preferred Vascular Services Northwest, Llc, a provider established in Marietta, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1598037822 assigned on February 2012. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated February 2026. Preferred Vascular Services Northwest, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jennifer Boyd Baldock (Officer And Authorized Official)

NPI
1598037822
Provider Legal Name
PREFERRED VASCULAR SERVICES NORTHWEST, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
711 CANTON RD NE STE 220 MARIETTA, GA 30060
Location Phone
(404) 554-2196
Location Fax
(404) 597-2313
Mailing Address
9140 CORSEA DEL FONTANA WAY NAPLES, FL 34109
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2012
Last Update Date
02-06-2026
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Location Map

Secondary Locations

  • 5461 Hillandale Dr Ste 210
    Lithonia, GA 30058
    (770) 981-8477
  • 960 Joe Frank Harris Pkwy SE
    Cartersville, GA 30120
    (404) 554-2196
  • 889 2nd St
    Macon, GA 31201
    (478) 254-9363
  • 3885 Princeton Lakes Way SW Ste 314
    Atlanta, GA 30331
    (404) 349-7770
  • 601 S 8th St
    Griffin, GA 30224
    (404) 554-2196
  • 711 Canton Rd NE Ste 230
    Marietta, GA 30060
    (404) 554-2196

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
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 5500 for HSA - HMO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER BOYD BALDOCK

Authorized Official Title
OFFICER AND AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 234-5954

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2198332
Facility Type
Physician Office
Certificate Effective Date
November 02, 2024
Certificate Expiration Date
November 01, 2026
Laboratory Director
SHRENIK SHAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Preferred Vascular Services Northwest, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598037822, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 0 + 3 + 1 + 4 + 8 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1598037822.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
711 CANTON RD NE STE 220
MARIETTA, GA 30060
Surgery (Vascular Surgery)
711 CANTON RD NE STE 220
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598037822, enumerated as an "organization" on February 01, 2012.

The provider is located at 711 CANTON RD NE STE 220 MARIETTA, GA 30060 and the phone number is (404) 554-2196.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc. and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.