OrganizationActive
Innovative Vascular & Vein of Atlanta
NPI 1861004780 · Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1861004780
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jan Dees, Director(470) 381-4666
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1100 Lake Hearn Dr
Atlanta, GA 30342-1523
Phone: (470) 381-4666
Street-level locationGet directions
Mailing address
3001 Palm Harbor Blvd Ste a
Palm Harbor, FL 34683-1930
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2020-08-21
- Certified
- 2020-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.