Genesis Vascular of Pooler, LLC
NPI 1376930339 · Interventional Cardiology Physician · Pooler, GA
Genesis Vascular of Pooler, LLC is a Interventional Cardiology Physician organization in Pooler, GA (NPI 1376930339).
Provider details
- NPI number
- 1376930339
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesis Global Healthcare
- Organization subpart
- Yes
- Authorized official
- James O'Dare, Principal(856) 335-5025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Other name
- Gv of Pooler
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-11-13
Frequently asked questions
- What is Genesis Vascular of Pooler, LLC's NPI number?
- Genesis Vascular of Pooler, LLC's National Provider Identifier (NPI) is 1376930339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Vascular of Pooler, LLC?
- Genesis Vascular of Pooler, LLC is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Vascular of Pooler, LLC located?
- Genesis Vascular of Pooler, LLC's practice location on file with NPPES is 1000 Towne Center Blvd, Pooler, GA 31322-4052.
- What is Genesis Vascular of Pooler, LLC's phone number?
- The practice phone number listed in the NPPES registry for Genesis Vascular of Pooler, LLC is (912) 662-0223.
- Who is the authorized official for Genesis Vascular of Pooler, LLC?
- The authorized official listed on Genesis Vascular of Pooler, LLC's NPPES record is James O'Dare, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Vascular of Pooler, LLC's NPI active?
- Yes — Genesis Vascular of Pooler, LLC's NPI (1376930339) is active in the NPPES registry as of the last update on 2015-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.