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NORTHWEST ATLANTA VASCULAR CARE LLC
NPI 1861766636
Surgery - Vascular Surgery in Marietta, GA

Active since February 26, 2012CLIA 11D2041446 · Waiver
711 CANTON RD NE STE 220, MARIETTA, GA 30060(239) 597-2010(239) 597-2313 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2018, Oct 9, 2018, Jul 2, 2018 and 1 more (4 updates tracked since 2017).

About Northwest Atlanta Vascular Care Llc NPPES

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

NORTHWEST ATLANTA VASCULAR CARE LLC (NPI 1861766636) is a healthcare organization registered as a vascular surgery in Marietta, Georgia and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 22, 2028, maintains a secondary practice location in Marietta, and lists Lisa A Mcnamara, Evp, as its authorized official.

NPPES Registry Identity

NPI1861766636
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTHWEST ATLANTA VASCULAR CARE LLC
Location Address711 CANTON RD NE STE 220Marietta, GA 30060-8949
Mailing Address9140 Corsea Del Fontana WayNaples, FL 34109-4397 · (239) 597-2010 · Fax (239) 597-2313
Phone(239) 597-2010
Fax(239) 597-2313
Organization SubpartNo
Authorized OfficialLisa A McnamaraEvp · (239) 597-2010
Enumeration DateFebruary 26, 2012
Last NPPES UpdateDecember 4, 20184 updates tracked since enumeration
✔ NPI 1861766636 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.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
711 CANTON RD NE STE 220, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Location 1

Location 1790 Church St NE, Suite 510Marietta, GA 30060-7282 · Phone (404) 403-8310 · Fax (888) 373-0497

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

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 11D2041446

Northwest Atlanta Vascular Care, LLC · Marietta, GA
Active · expires May 22, 2028
CLIA Number11D2041446
Laboratory TypeExtension Of Phy Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorJohn T. Perry
Laboratory Phone(404) 403-8310
Laboratory LocationNorthwest Atlanta Vascular Care, LLC711 Canton Road, Suite 230, Marietta, GA 30060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JOHN THEODORE PERRY III M.D.
Surgery (Vascular Surgery)
711 CANTON RD NE STE 220
MARIETTA, GA 30060
Cobb County (404) 554-2196
PREFERRED VASCULAR SERVICES NORTHWEST, LLC
Surgery (Vascular Surgery)
711 CANTON RD NE STE 220
MARIETTA, GA 30060
Cobb County (404) 554-2196

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 Northwest Atlanta Vascular Care LLC's NPI number?

The NPI number for Northwest Atlanta Vascular Care LLC is 1861766636. It was assigned to this organization in the NPPES registry on February 26, 2012.

Where is Northwest Atlanta Vascular Care LLC located?

Northwest Atlanta Vascular Care LLC is located at 711 Canton Rd NE Ste 220, Marietta, GA 30060. The listed phone number is (239) 597-2010.

What is Northwest Atlanta Vascular Care LLC's specialty?

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

Does Northwest Atlanta Vascular Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2041446) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Atlanta Vascular Care LLC was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.