PREFERRED VASCULAR SERVICES SOUTHEAST LLC
NPI 1861992976
Surgery - Vascular Surgery in Lithonia, GA
About Preferred Vascular Services Southeast Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREFERRED VASCULAR SERVICES SOUTHEAST LLC (NPI 1861992976) is a healthcare organization registered as a vascular surgery in Lithonia, Georgia and active in the NPI registry since February 2018. The organization maintains a secondary practice location in Stockbridge and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
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 Southeast Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Preferred Vascular Services Southeast LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (17)
Lawrenceville, GA 30046
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 Southeast LLC's NPI number?
The NPI number for Preferred Vascular Services Southeast LLC is 1861992976. It was assigned to this organization in the NPPES registry on February 15, 2018.
Where is Preferred Vascular Services Southeast LLC located?
Preferred Vascular Services Southeast LLC is located at 5461 Hillandale Dr Ste 210, Lithonia, GA 30058. The listed phone number is (770) 981-8477.
What is Preferred Vascular Services Southeast LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Preferred Vascular Services Southeast LLC enrolled in Medicare?
Yes. Preferred Vascular Services Southeast LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Preferred Vascular Services Southeast LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Preferred Vascular Services Southeast LLC. 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 (5), Vascular Surgery (4) and Diagnostic Radiology (3). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Preferred Vascular Services Southeast 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 Preferred Vascular Services Southeast 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 Preferred Vascular Services Southeast 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 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.
# Preferred Vascular Services Southeast Llc · NPI 1861992976
Vascular Surgery organization in Lithonia, Georgia. Organization record, active in the CMS NPPES registry since February 15, 2018.
## Identity
- **NPI:** 1861992976 (Entity type: Organization)
- **Enumerated:** February 15, 2018
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Jennifer Baldock, OFFICER AND AUTHORIZED OFFICIAL
## Practice location
- **Address:** 5461 HILLANDALE DR STE 210, Lithonia, GA 30058-4842
- **Phone:** (770) 981-8477 · **Fax:** (770) 981-8908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (5), Vascular Surgery (4), Diagnostic Radiology (3); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861992976) · Data from the CMS NPPES public registry.