South Atlanta Vascular Institute, LLC
NPI 1063903078 · Vascular Surgery Physician · Powder Springs, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Atlanta Vascular Institute, LLC is a Vascular Surgery Physician organization in Powder Springs, GA (NPI 1063903078).
Provider details
- NPI number
- 1063903078
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Allison, Managing Member(770) 405-8496
- License
- 70519 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Frequently asked questions
- What is South Atlanta Vascular Institute, LLC's NPI number?
- South Atlanta Vascular Institute, LLC's National Provider Identifier (NPI) is 1063903078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlanta Vascular Institute, LLC?
- South Atlanta Vascular Institute, LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is South Atlanta Vascular Institute, LLC located?
- South Atlanta Vascular Institute, LLC's practice location on file with NPPES is 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923.
- What is South Atlanta Vascular Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Atlanta Vascular Institute, LLC is (770) 688-5334.
- Does South Atlanta Vascular Institute, LLC accept Medicare?
- South Atlanta Vascular Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Atlanta Vascular Institute, LLC?
- The authorized official listed on South Atlanta Vascular Institute, LLC's NPPES record is David Allison, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlanta Vascular Institute, LLC's NPI active?
- Yes — South Atlanta Vascular Institute, LLC's NPI (1063903078) is active in the NPPES registry as of the last update on 2018-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.