NORTH ATLANTA VASCULAR CLINIC, PC
NPI 1619987682
Surgery - Vascular Surgery in Suwanee, GA

Active since August 09, 2006CLIA 11D2067113 · Waiver
2685 PEACHTREE PKWY STE 320, SUWANEE, GA 30024(770) 771-5269(770) 771-5269 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2021, Apr 15, 2019 (2 updates tracked since 2019).

About North Atlanta Vascular Clinic, Pc NPPES

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

NORTH ATLANTA VASCULAR CLINIC, PC (NPI 1619987682) is a healthcare organization registered as a vascular surgery in Suwanee, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Uthan Vivek, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1619987682
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTH ATLANTA VASCULAR CLINIC, PC
Location Address2685 PEACHTREE PKWY STE 320Suwanee, GA 30024-1048
Mailing Address2685 Peachtree Pkwy Ste 320Suwanee, GA 30024-1048 · (770) 771-5269 · Fax (770) 771-5269
Fax(770) 771-5269
Organization SubpartNo
Authorized OfficialUthan VivekOwner/physician · (770) 771-5260
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 28, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1619987682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in GA · 058235
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2685 PEACHTREE PKWY STE 320, Suwanee, GA 30024

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to North Atlanta Vascular Clinic, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1033898499
2685 PEACHTREE PKWY
Suwanee, GA 30024
(770) 771-5260
✔ PECOSSame address
Vascular Surgery
NPI 1437554698
2685 PEACHTREE PKWY STE 320
Suwanee, GA 30024
(770) 771-5260
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1831109891
2685 PEACHTREE PKWY STE 320
Suwanee, GA 30024
(770) 771-5260
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1124467709
6300 HOSPITAL PKWY STE 375
Johns Creek, GA 30097
(770) 771-5260
✔ PECOS✔ Accepts Medicare1.8 mi
Vascular Surgery
NPI 1447639505
6300 HOSPITAL PKWY STE 375
Johns Creek, GA 30097
(770) 771-5260
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2067113

North Atlanta Vascular Clinic PC · Suwanee, GA
Active · expires Mar 11, 2028
CLIA Number11D2067113
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorUthan Vivek
Laboratory Phone(770) 771-5260
Laboratory LocationNorth Atlanta Vascular Clinic PC2685 Peachtree Parkway Suite 320, Suwanee, GA 30024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Atlanta Vascular Clinic, PC's NPI number?

The NPI number for North Atlanta Vascular Clinic, PC is 1619987682. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is North Atlanta Vascular Clinic, PC located?

North Atlanta Vascular Clinic, PC is located at 2685 Peachtree Pkwy Ste 320, Suwanee, GA 30024. The listed phone number is (770) 771-5269.

What is North Atlanta Vascular Clinic, PC's specialty?

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

Is North Atlanta Vascular Clinic, PC enrolled in Medicare?

Yes. North Atlanta Vascular Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Atlanta Vascular Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to North Atlanta Vascular Clinic, PC. 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 (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Atlanta Vascular Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2067113) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Atlanta Vascular Clinic, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list North Atlanta Vascular Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Atlanta Vascular Clinic, PC was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.