GEORGIA VASCULAR INSTITUTE, LLC
NPI 1912136524
Radiology - Vascular & Interventional Radiology in Atlanta, GA

Q: What is Georgia Vascular Institute, LLC's NPI number?

The NPI number for Georgia Vascular Institute, LLC is 1912136524. It was assigned to this organization in the NPPES registry on July 6, 2009.

Q: What is Georgia Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since July 06, 2009CLIA 11D2228711 · Waiver

3886 PRINCETON LAKES WAY SW STE 100, ATLANTA, GA 30331(770) 506-4007(678) 623-3543 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Georgia Vascular Institute, Llc NPPES

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

GEORGIA VASCULAR INSTITUTE, LLC (NPI 1912136524) is a healthcare organization registered as a vascular & interventional radiology in Atlanta, Georgia and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through March 9, 2028, maintains 2 additional practice locations, and lists Holly Farrow, Coo, as its authorized official.

NPPES Registry Identity

NPI1912136524

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameGEORGIA VASCULAR INSTITUTE, LLC

Location Address3886 PRINCETON LAKES WAY SW STE 100Atlanta, GA 30331-5511

Mailing Address3886 Princeton Lakes Way Sw Ste 100Atlanta, GA 30331-5511 · (770) 506-4007 · Fax (678) 623-3543

Phone(770) 506-4007

Fax(678) 623-3543

Organization SubpartNo

Authorized OfficialHolly FarrowCoo · (770) 506-4007

Enumeration DateJuly 6, 2009

Last NPPES UpdateDecember 16, 2021

NPPES CertifiedDecember 16, 2021

✔ NPI 1912136524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

3886 PRINCETON LAKES WAY SW STE 100, Atlanta, GA 30331

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Secondary Practice Locations 2

Location 18225 Mall Pkwy Ste 230Lithonia, GA 30038-6913 · Phone (770) 506-4007 · Fax (678) 246-5191

Location 21215 Eagles Landing Pkwy Ste 105Stockbridge, GA 30281-5084 · Phone (770) 506-4007 · Fax (678) 246-5191

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

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 11D2228711

Georgia Vascular Institute · Atlanta, GA

Active · expires Mar 9, 2028

CLIA Number11D2228711

Laboratory TypePhysician Office

Certificate Effective DateMarch 10, 2026

Certificate Expiration DateMarch 9, 2028

Laboratory DirectorKevin L. Carson

Laboratory Phone(770) 506-4007

Laboratory LocationGeorgia Vascular Institute3886 Princeton Lakes Way, Suite 100, Atlanta, GA 30331

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

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

KEVIN L CARSON MD

Radiology (Vascular & Interventional Radiology)

3886 PRINCETON LAKES WAY SW STE 100
ATLANTA, GA 30331

Fulton County (770) 506-4007

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 Georgia Vascular Institute, LLC's NPI number?

The NPI number for Georgia Vascular Institute, LLC is 1912136524. It was assigned to this organization in the NPPES registry on July 6, 2009.

Where is Georgia Vascular Institute, LLC located?

Georgia Vascular Institute, LLC is located at 3886 Princeton Lakes Way SW Ste 100, Atlanta, GA 30331. The listed phone number is (770) 506-4007.

What is Georgia Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Georgia Vascular Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2228711) is associated with this NPI, valid through March 9, 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 Georgia Vascular Institute, LLC was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.