OrganizationActive

Preferred Vascular Services Northeast

NPI 1780184218 · Vascular Surgery Physician · Atlanta, GA

Provider details

NPI number: 1780184218
Entity type: Organization
Primary specialty: Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jennifer Baldock, Officer and Authorized Official(615) 234-5954

Specialties & taxonomies

Vascular Surgery PhysicianPrimary2086S0129X
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204X
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(78/100 index)

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
11 documented practice locations

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

1 Dunwoody Park Ste 140

Atlanta, GA 30338-6708

Phone: (404) 554-2080

Fax: (404) 554-8021

Street-level locationGet directions

More GA providers

Mailing address

9140 Corsea Del Fontana Way

Naples, FL 34109-4397

Additional practice locations (10)

1100 Lake Hearn Dr Ste 200
Atlanta, GA 30342-1573
Phone: (404) 554-2080
1000 Johnson Fy Rd Ne
Atlanta, GA 30342-1606
Phone: (404) 554-2080
3885 Princeton Lakes Way Sw Ste 312
Atlanta, GA 30331-7100
Phone: (404) 349-7770
Fax: (833) 471-3311
3885 Princeton Lakes Way Sw Ste 314
Atlanta, GA 30331-7100
Phone: (404) 349-7770
Fax: (833) 471-3311
1 Dunwoody Park Ste 130
Atlanta, GA 30338-6714
Phone: (404) 554-2080
Fax: (833) 471-3311
5461 Hillandale Dr Ste 210b
Lithonia, GA 30058-4842
Phone: (770) 981-8477
Fax: (833) 471-3311
5461 Hillandale Dr Ste 210
Lithonia, GA 30058-4842
Phone: (770) 981-8477
Fax: (833) 471-3311
889 2nd St
Macon, GA 31201-6862
Phone: (478) 254-9363

Enumerated: 2018-02-21
Last updated: 2026-02-06
Certified: 2026-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.