SOUTHEAST ATLANTA VASCULAR CARE, LLC
NPI 1922549237
Surgery - Vascular Surgery in Lithonia, GA
NPI Status: Active since March 20, 2017
Contact Information
5461 HILLANDALE DR
SUITE 210
LITHONIA, GA
ZIP 30058
Phone: (770) 981-8477
Fax: (770) 981-8908
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 11D2129949
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-27-2027
About SOUTHEAST ATLANTA VASCULAR CARE, LLC
This page provides the complete NPI Profile along with additional information for Southeast Atlanta Vascular Care, Llc, a provider established in Lithonia, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1922549237 assigned on March 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Southeast Atlanta Vascular Care, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lisa Mcnamara (Evp)
- NPI
- 1922549237
- Provider Name
- SOUTHEAST ATLANTA VASCULAR CARE, LLC
- Entity Type
- Organization
- Location Address
- 5461 HILLANDALE DR SUITE 210 LITHONIA, GA 30058
- Location Phone
- (770) 981-8477
- Location Fax
- (770) 981-8908
- Mailing Address
- 9140 CORSEA DEL FONTANA WAY NAPLES, FL 34109
- Mailing Phone
- (239) 597-2010
- Mailing Fax
- (770) 981-8908
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2017
- Last Update Date
- 03-20-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2129949
- Facility Type
- Physician Office
- Certificate Effective Date
- April 28, 2025
- Certificate Expiration Date
- April 27, 2027
- Laboratory Director
- DR. SANDEEP SHARMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Atlanta Vascular Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922549237, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922549237, enumerated as an "organization" on March 20, 2017.
The provider is located at 5461 HILLANDALE DR SUITE 210 LITHONIA, GA 30058 and the phone number is (770) 981-8477.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
