OrganizationActive
Atlanta Vein Clinic, LLC
NPI 1104076009 · Ambulatory Surgical Clinic/Center · Suwanee, GA
Provider details
- NPI number
- 1104076009
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chalam Mahadevan, Owner(404) 805-6167
- License
- 059827 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4060 Johns Creek Pkwy
Building E
Suwanee, GA 30024-1230
Phone: (404) 805-6167
Street-level locationGet directions
Mailing address
4060 Johns Creek Pkwy
Suwanee, GA 30024-1230
Other names (DBA / former)
- Doing business as
- Atlanta Vein Specialists
Registry dates
- Enumerated
- 2008-09-26
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.