Southeast Atlanta Vascular Care, LLC
NPI 1689195786 · Ambulatory Surgical Clinic/Center · Lithonia, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Atlanta Vascular Care, LLC is a Ambulatory Surgical Clinic/Center organization in Lithonia, GA (NPI 1689195786).
Provider details
- NPI number
- 1689195786
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
440 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Review By Radiologist36902 | 215 | $2,493 |
| Dialysis Circuit, Introduction of Needle(s) And/Or Catheter(s), With Diagnostic Angiography of the Dialysis Circuit, Including All Direct Puncture(s) and Catheter Placement(s), Injection(s) of Contrast, All Necessary Imaging From the Arterial Anastomosis aC7513 | 69 | $944 |
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit With Review By Radiologist36901 | 58 | $463 |
| Replacement of Tunneled Central Venous Tube36581 | 30 | $1,470 |
| Removal of Tunneled Central Venous Tube36589 | 24 | $322 |
| Removal And/Or Dissolving of Blood Clot in Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Imaging Review By Radiologist, With Balloon Tube |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Southeast Atlanta Vascular Care, LLC's NPI number?
- Southeast Atlanta Vascular Care, LLC's National Provider Identifier (NPI) is 1689195786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Atlanta Vascular Care, LLC?
- Southeast Atlanta Vascular Care, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Atlanta Vascular Care, LLC located?
- Southeast Atlanta Vascular Care, LLC's practice location on file with NPPES is 5461 Hillandale Dr Ste 210, Lithonia, GA 30058-4842.
- What is Southeast Atlanta Vascular Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Atlanta Vascular Care, LLC is (770) 981-8477.
- Does Southeast Atlanta Vascular Care, LLC accept Medicare?
- Southeast Atlanta Vascular Care, 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 Southeast Atlanta Vascular Care, LLC?
- The authorized official listed on Southeast Atlanta Vascular Care, LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Atlanta Vascular Care, LLC's NPI active?
- Yes — Southeast Atlanta Vascular Care, LLC's NPI (1689195786) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.