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PREMIER VASCULAR, LLC
NPI 1942981618
Surgery - Vascular Surgery in Macon, GA

Active since July 26, 2023CLIA 11D2307199 · Certificate of Compliance
1902 FORSYTH ST, MACON, GA 31201(478) 250-9785(478) 202-9505 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Jun 12, 2024, Jul 26, 2023 (3 updates tracked since 2023).

About Premier Vascular, Llc NPPES

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

PREMIER VASCULAR, LLC (NPI 1942981618), doing business as Premier Vascular Surgery, is a healthcare organization registered as a vascular surgery in Macon, Georgia and active in the NPI registry since July 2023. The organization holds a CLIA Certificate of Compliance certificate valid through April 8, 2028 and lists Jonathan Cudnik, Member, as its authorized official.

NPPES Registry Identity

NPI1942981618
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePREMIER VASCULAR, LLC
Location Address1902 FORSYTH STMacon, GA 31201-8132
Mailing Address451 College St Unit 13025Macon, GA 31208-3009 · Fax (478) 202-9505
Phone(478) 250-9785
Fax(478) 202-9505
Organization SubpartNo
Authorized OfficialJonathan CudnikMember · (478) 250-9785
Enumeration DateJuly 26, 2023
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1942981618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1902 FORSYTH ST, Macon, GA 31201
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Other Names 1

Doing Business AsPremier Vascular Surgery

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Compliance 11D2307199

Premier Vascular · Macon, GA
Active · expires Apr 8, 2028
CLIA Number11D2307199
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorMatthew Chandler
Laboratory Phone(478) 250-9785
Laboratory LocationPremier Vascular1902 Forsyth Street, Macon, GA 31201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

WADE ALLEN CARR FNP-C
Nurse Practitioner (Family)
1902 FORSYTH ST
MACON, GA 31201
Bibb County (478) 250-9785
DR. NORMAN TYRUS IVEY DDS
Dentist
1902 FORSYTH ST, SUITE C
MACON, GA 31201
Bibb County (478) 741-0044
DR. AMBER PEAVY LAWSON D.M.D.
Dentist (General Practice)
1902 FORSYTH ST, SUITE C
MACON, GA 31201
Bibb County (478) 741-0046
DR. JONATHAN SCOTT CUDNIK MD
Surgery (Vascular Surgery)
1902 FORSYTH ST
MACON, GA 31201
Bibb County (478) 250-9785
CADE ANDREW BROWNLEE APRN
Nurse Practitioner (Family)
1902 FORSYTH ST
MACON, GA 31201
Bibb County (478) 250-9785
MR. ALEX REESE CSFA
Specialist/Technologist, Other (Surgical Assistant)
1902 FORSYTH ST
MACON, GA 31201
Bibb County (478) 250-9785
N. TYRUS IVEY, DDS, PC
Clinic/Center (Dental)
1902 FORSYTH ST, SUITE C
MACON, GA 31201
Bibb County (478) 741-0044
DR. JOHN WILLIAM MIX M.D.
Surgery (Vascular Surgery)
1902 FORSYTH ST
MACON, GA 31201
Bibb County (478) 250-9785

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 Premier Vascular, LLC's NPI number?

The NPI number for Premier Vascular, LLC is 1942981618. It was assigned to this organization in the NPPES registry on July 26, 2023. The provider is doing business as Premier Vascular Surgery.

Where is Premier Vascular, LLC located?

Premier Vascular, LLC is located at 1902 Forsyth St, Macon, GA 31201. The listed phone number is (478) 250-9785.

What is Premier Vascular, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Premier Vascular, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2307199) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Vascular, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier Vascular, 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 Premier Vascular, LLC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.