1. Home
  2. Directory
  3. Georgia
  4. Acworth
  5. Specialist
  6. NPI Profile

ENDOVASCULAR THERAPY AND VASCULAR SURGERY OF GA
NPI 1861647414
Specialist in Acworth, GA

Active since November 24, 2008
4450 CALIBRE CROSSING SUITE 1122, GOVERNORS PAVILION BLDG, ACWORTH, GA 30101(850) 267-1040(866) 799-9384 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Endovascular Therapy And Vascular Surgery Of Ga NPPES

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

ENDOVASCULAR THERAPY AND VASCULAR SURGERY OF GA (NPI 1861647414) is a healthcare organization registered as a specialist in Acworth, Georgia and active in the NPI registry since November 2008. The organization lists Martin Carignan, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1861647414
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameENDOVASCULAR THERAPY AND VASCULAR SURGERY OF GA
Location Address4450 CALIBRE CROSSING SUITE 1122, GOVERNORS PAVILION BLDGAcworth, GA 30101-0000
Mailing Address4450 Calibre Crossing Suite 1122, Governors Pavilion BldgAcworth, GA 30101-0000 · (850) 267-1040 · Fax (866) 799-9384
Phone(850) 267-1040
Fax(866) 799-9384
Organization SubpartNo
Authorized OfficialMartin CarignanMedical Doctor · (850) 267-1040
Enumeration DateNovember 24, 2008
✔ NPI 1861647414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4450 CALIBRE CROSSING SUITE 1122, Acworth, GA 30101
Open in Google Maps ↗

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

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 Endovascular Therapy And Vascular Surgery Of Ga's NPI number?

The NPI number for Endovascular Therapy And Vascular Surgery Of Ga is 1861647414. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Endovascular Therapy And Vascular Surgery Of Ga located?

Endovascular Therapy And Vascular Surgery Of Ga is located at 4450 Calibre Crossing Suite 1122 Governors Pavilion Bldg, Acworth, GA 30101. The listed phone number is (850) 267-1040.

What is Endovascular Therapy And Vascular Surgery Of Ga's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Endovascular Therapy And Vascular Surgery Of Ga was last updated on November 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.