SOUTH ATLANTA VASCULAR INSTITUTE, LLC
SOUTH ATLANTA VASCULAR INSTITUTE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063903078, based in Powder Springs, GA. The organization lists 2 taxonomy classifications, with Vascular Surgery Physician recorded as primary.
Getting there
The practice address on file is 4714 OAKLEIGH MANOR DR, Powder Springs, GA 30127. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 66855 | GA | Vascular Surgery Physician primary |
| 70519 | GA | Vascular & Interventional Radiology… |
This provider holds licence 66855 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7315289972
- Enrollment ID
- O20190430002811
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular Surgery covers
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NUCC Health Care Provider Taxonomy, code 2086S0129X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | 66855 | GA | primary |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 70519 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063903078 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 24, 2018 |
| Last updated | May 24, 2018 |
| Status | Active |
| Practice address |
4714 OAKLEIGH MANOR DR Powder Springs, GA 30127 (770) 688-5334 |
| Other identifiers |
1598965006
· Medicaid (GA) 1760644355 · Medicaid (MA) 1386869535 · Medicaid (TN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 9 | 0 | 3 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 9 | 0 | 6 | 0 | 5 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.