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NORTHEAST ATLANTA VASCULAR CARE, LLC
NPI 1649791641
Clinic/Center - Ambulatory Surgical in Atlanta, GA

Active since June 29, 2017CLIA 11D2041447 · Waiver
1 DUNWOODY PARK STE 130, ATLANTA, GA 30338(404) 554-2080(404) 554-8021 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Sep 6, 2022, Aug 6, 2019 and 2 more (5 updates tracked since 2017).

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 1649791641) is a healthcare organization registered as an ambulatory surgical in Atlanta, Georgia and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649791641
Entity TypeOrganization
Primary Taxonomy261QA1903X
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
Phone(404) 554-2080
Fax(404) 554-8021
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJune 29, 2017
Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1649791641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1 DUNWOODY PARK STE 130, Atlanta, GA 30338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 11D2041447

Northeast Atlanta Vascular Care, LLC · Atlanta, GA
Active · expires May 22, 2028
CLIA Number11D2041447
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Victor Njoku
Laboratory Phone(404) 983-2125
Laboratory LocationNortheast Atlanta Vascular Care, LLC1 Dunwoody Park, Suites 130 & 140, Atlanta, GA 30388
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
221 services97 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
37 services28 patients
Replacement of tunneled central venous tube 36581
A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
33 services19 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
33 services26 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
21 services21 patients

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
Surgery (Vascular Surgery)
1 DUNWOODY PARK STE 130
ATLANTA, GA 30338
Dekalb County (239) 597-2010

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 1649791641. It was assigned to this organization in the NPPES registry on June 29, 2017.

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 (404) 554-2080.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northeast Atlanta Vascular Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2041447) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Atlanta Vascular Care, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Northeast Atlanta Vascular Care, LLC 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 Northeast Atlanta Vascular Care, LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.