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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: October 25, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Vascular, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Vascular, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Mix, M.D.
Vascular Surgery
NPI 1558543389
1902 FORSYTH ST
Macon, GA 31201
(478) 250-9785
✔ PECOS✔ Accepts MedicareSame address
Jonathan Cudnik, MD
Vascular Surgery
NPI 1285920538
1902 FORSYTH ST
Macon, GA 31201
(478) 250-9785
✔ PECOS✔ Accepts MedicareSame address
Jason Chapman, MD
Vascular Surgery
NPI 1447437090
575 1ST ST
Macon, GA 31201
(478) 743-9762
✔ PECOS✔ Accepts Medicare1.0 mi

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 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.

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.

Is Premier Vascular, LLC enrolled in Medicare?

Yes. Premier Vascular, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Vascular, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Vascular Surgery, reassign their Medicare billing to Premier Vascular, LLC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 16 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.