PREFERRED VASCULAR SERVICES NORTHEAST
NPI 1780184218
Surgery - Vascular Surgery in Atlanta, GA

Active since February 21, 2018
1 DUNWOODY PARK STE 140, 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: October 18, 2026.

Record update history: Feb 6, 2026, Dec 29, 2025, Sep 6, 2022 and 4 more (7 updates tracked since 2018).

About Preferred Vascular Services Northeast NPPES

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

PREFERRED VASCULAR SERVICES NORTHEAST (NPI 1780184218) is a healthcare organization registered as a vascular surgery in Atlanta, Georgia and active in the NPI registry since February 2018. The organization maintains 10 additional practice locations and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1780184218
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePREFERRED VASCULAR SERVICES NORTHEAST
Location Address1 DUNWOODY PARK STE 140Atlanta, GA 30338-6708
Mailing Address9140 Corsea Del Fontana WayNaples, FL 34109-4397
Fax(404) 554-8021
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateFebruary 21, 2018
Last NPPES UpdateFebruary 6, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1780184218 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.
1 DUNWOODY PARK STE 140, Atlanta, GA 30338

Secondary Practice Locations 10

Location 11100 Lake Hearn Dr Ste 200Atlanta, GA 30342-1573 · Phone (404) 554-2080
Location 21 Dunwoody Park Ste 130Atlanta, GA 30338-6714 · Phone (404) 554-2080 · Fax (833) 471-3311
Location 33885 Princeton Lakes Way SW Ste 312Atlanta, GA 30331-7100 · Phone (404) 349-7770 · Fax (833) 471-3311
Location 43885 Princeton Lakes Way SW Ste 314Atlanta, GA 30331-7100 · Phone (404) 349-7770 · Fax (833) 471-3311
Location 5889 2nd StMacon, GA 31201-6862 · Phone (478) 254-9363 · Fax (833) 471-3311
Location 6711 Canton Rd NE Ste 220Marietta, GA 30060-8949 · Phone (404) 554-2196 · Fax (833) 471-3311
Location 75461 Hillandale Dr Ste 210BLithonia, GA 30058-4842 · Phone (770) 981-8477 · Fax (833) 471-3311
Location 8711 Canton Rd NE Ste 230Marietta, GA 30060-8949 · Phone (404) 554-2196 · Fax (833) 471-3311
Location 91000 Johnson Fy Rd NEAtlanta, GA 30342-1606 · Phone (404) 554-2080
Location 105461 Hillandale Dr Ste 210Lithonia, GA 30058-4842 · Phone (770) 981-8477 · Fax (833) 471-3311

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

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)

Preferred Vascular Services Northeast is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Preferred Vascular Services Northeast, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nephrology6
Vascular Surgery5
Diagnostic Radiology2
Internal Medicine2
Interventional Radiology2
Nurse Practitioner1

Clinicians, nearest first (18)

Nephrology
NPI 1730468570
880 CANTON RD NE STE 400
Marietta, GA 30060
(770) 528-9788
✔ PECOS11 mi
Vascular Surgery
NPI 1578644258
711 CANTON RD NE STE 220
Marietta, GA 30060
(404) 554-2196
✔ PECOS✔ Accepts Medicare12 mi
Nephrology
NPI 1225255128
55 WHITCHER ST NE SUITE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1447276225
250 PONCE DE LEON AVE SUITE 100
Decatur, GA 30030
(404) 377-9171
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1871668343
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1124092986
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts Medicare21 mi
Nephrology
NPI 1407297823
4450 CALIBRE XING NW STE 1126
Acworth, GA 30101
(470) 227-8130
✔ PECOS22 mi
Internal Medicine
NPI 1619195732
5246 SNAPFINGER PARK DR
Decatur, GA 30035
(678) 533-6120
✔ PECOS✔ Accepts Medicare23 mi
Interventional Radiology
NPI 1114168846
3885 PRINCETON LAKES WAY SW STE 314
Atlanta, GA 30331
(404) 349-7770
✔ PECOS✔ Accepts Medicare26 mi
Vascular Surgery
NPI 1356668487
1301 SIGMAN RD NE SUITE 130
Conyers, GA 30012
(678) 609-4927
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1740893411
1035 SOUTHCREST DR STE 250
Stockbridge, GA 30281
(770) 996-9945
✔ PECOS✔ Accepts Medicare33 mi
Nephrology
NPI 1578592994
250 VILLAGE CENTER PWKY SUITE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS35 mi
Vascular Surgery
NPI 1447489026
614 S 8TH ST
Griffin, GA 30224
(678) 688-8140
✔ PECOS✔ Accepts Medicare53 mi
Interventional Radiology
NPI 1366408197
630 13TH ST SUITE 250
Augusta, GA 30901
(706) 774-5000
✔ PECOS✔ Accepts Medicare142 mi
Vascular Surgery
NPI 1295969947
332 MEDCREST DR
Crestview, FL 32536
(850) 682-0032
✔ PECOS✔ Accepts Medicare260 mi
Nephrology
NPI 1184914723
11771 MAUMELLE BLVD
North Little Rock, AR 72113
(501) 204-0302
✔ PECOS462 mi
Vascular Surgery
NPI 1821529108
830 W HIGH ST STE 207
Lima, OH 45801
(419) 226-9182
✔ PECOS✔ Accepts Medicare465 mi
Nephrology
NPI 1447206743
128 N CRAIG ST
Pittsburgh, PA 15213
(856) 210-0188
✔ PECOS✔ Accepts Medicare506 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 Preferred Vascular Services Northeast's NPI number?

The NPI number for Preferred Vascular Services Northeast is 1780184218. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Preferred Vascular Services Northeast located?

Preferred Vascular Services Northeast is located at 1 Dunwoody Park Ste 140, Atlanta, GA 30338. The listed phone number is (404) 554-2080.

What is Preferred Vascular Services Northeast's specialty?

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

Is Preferred Vascular Services Northeast enrolled in Medicare?

Yes. Preferred Vascular Services Northeast is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preferred Vascular Services Northeast?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Preferred Vascular Services Northeast. 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 Nephrology (6), Vascular Surgery (5) and Diagnostic Radiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Preferred Vascular Services Northeast 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 Preferred Vascular Services Northeast 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 Preferred Vascular Services Northeast 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 8 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.