GEORGIA VASCULAR INSTITUTE, LLC
NPI 1912136524
Radiology - Vascular & Interventional Radiology in Atlanta, GA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Vascular Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Georgia Vascular Institute, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Atlanta, GA 30331
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Georgia Vascular Institute, LLC enrolled in Medicare?
Yes. Georgia Vascular Institute, LLC is registered in the Medicare PECOS enrollment system.
When is Georgia Vascular Institute, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Georgia Vascular Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Georgia Vascular Institute, LLC, in Diagnostic Radiology and Interventional Radiology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Georgia Vascular Institute, Llc · NPI 1912136524
Vascular & Interventional Radiology organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since July 6, 2009.
## Identity
- **NPI:** 1912136524 (Entity type: Organization)
- **Enumerated:** July 6, 2009
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Holly Farrow, COO
## Practice location
- **Address:** 3886 PRINCETON LAKES WAY SW STE 100, Atlanta, GA 30331-5511
- **Phone:** (770) 506-4007 · **Fax:** (678) 623-3543
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (1), Interventional Radiology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912136524) · Data from the CMS NPPES public registry.