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VICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC
NPI 1851424378
Surgery - Vascular Surgery in Athens, GA

Active since March 13, 2007
435 HAWTHORNE AVE, #600, ATHENS, GA 30606(706) 227-0871(706) 227-0865 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victory Vascular & General Surgery Of Georgia Pc NPPES

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

VICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC (NPI 1851424378) is a healthcare organization registered as a vascular surgery in Athens, Georgia and active in the NPI registry since March 2007. The organization lists Azeez Popoola Adeduntan, President, as its authorized official.

NPPES Registry Identity

NPI1851424378
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC
Location Address435 HAWTHORNE AVE, #600Athens, GA 30606-2574
Mailing Address435 Hawthorne Ave, #600Athens, GA 30606-2574 · (706) 227-0871 · Fax (706) 227-0865
Phone(706) 227-0871
Fax(706) 227-0865
Organization SubpartNo
Authorized OfficialAzeez Popoola AdeduntanPresident · (706) 227-0871
Enumeration DateMarch 13, 2007
Last NPPES UpdateJanuary 24, 2013
✔ NPI 1851424378 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 · 040293
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
435 HAWTHORNE AVE, Athens, GA 30606
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Other Identifiers 3

Medicaid000670381CGA
Medicare UPINF61706GA
Medicare PIN02BDDXSGA

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AZEEZ POPOOLA ADEDUNTAN MD
Specialist
435 HAWTHORNE AVE, SUITE 600
ATHENS, GA 30606
Clarke County (706) 227-0871
DR. MARCELLINA SISTARE DC
Chiropractor
435 HAWTHORNE AVE, 8
ATHENS, GA 30606
Clarke County (404) 664-1114
LIFE TRANSITION, INC.
In Home Supportive Care
435 HAWTHORNE AVE, SUITE 700
ATHENS, GA 30606
Clarke County (706) 850-1890

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 Victory Vascular & General Surgery Of Georgia PC's NPI number?

The NPI number for Victory Vascular & General Surgery Of Georgia PC is 1851424378. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Victory Vascular & General Surgery Of Georgia PC located?

Victory Vascular & General Surgery Of Georgia PC is located at 435 Hawthorne Ave #600, Athens, GA 30606. The listed phone number is (706) 227-0871.

What is Victory Vascular & General Surgery Of Georgia PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Victory Vascular & General Surgery Of Georgia PC was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.