PREFERRED VASCULAR SERVICES SOUTHEAST LLC
NPI 1861992976
Surgery - Vascular Surgery in Lithonia, GA

Active since February 15, 2018
5461 HILLANDALE DR STE 210, LITHONIA, GA 30058(770) 981-8477(770) 981-8908 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Feb 15, 2018 (2 updates tracked since 2018).

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

NPI1861992976
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePREFERRED VASCULAR SERVICES SOUTHEAST LLC
Location Address5461 HILLANDALE DR STE 210Lithonia, GA 30058-4842
Mailing Address9140 Corsea Del Fontana WayNaples, FL 34109-4397
Fax(770) 981-8908
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateFebruary 15, 2018
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1861992976 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.
5461 HILLANDALE DR STE 210, Lithonia, GA 30058

Secondary Practice Location 1

Location 11133 Eagles Landing PkwyStockbridge, GA 30281-5085 · Phone (770) 981-8477

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

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.

Clinic/Center (Ambulatory Surgical)
5461 HILLANDALE DR STE 210
LITHONIA, GA 30058
General Acute Care Hospital (Critical Access)
5461 HILLANDALE DR STE 210
LITHONIA, GA 30058

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.

What insurance does Preferred Vascular Services Southeast LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers 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 6 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.