Preferred Vascular Services Southeast LLC
NPI 1861992976 · Vascular Surgery Physician · Lithonia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Preferred Vascular Services Southeast LLC is a Vascular Surgery Physician organization in Lithonia, GA (NPI 1861992976).
Provider details
- NPI number
- 1861992976
- 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
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
2 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
Mailing address
Additional practice locations (1)
- 1133 Eagles Landing PkwyStockbridge, GA 30281-5085Phone: (770) 981-8477
Registry dates
- Enumerated
- 2018-02-15
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Preferred Vascular Services Southeast LLC's NPI number?
- Preferred Vascular Services Southeast LLC's National Provider Identifier (NPI) is 1861992976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Preferred Vascular Services Southeast LLC?
- Preferred Vascular Services Southeast LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Preferred Vascular Services Southeast LLC located?
- Preferred Vascular Services Southeast LLC's practice location on file with NPPES is 5461 Hillandale Dr Ste 210, Lithonia, GA 30058-4842.
- What is Preferred Vascular Services Southeast LLC's phone number?
- The practice phone number listed in the NPPES registry for Preferred Vascular Services Southeast LLC is (770) 981-8477.
- Does Preferred Vascular Services Southeast LLC accept Medicare?
- Preferred Vascular Services Southeast 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 Preferred Vascular Services Southeast LLC?
- The authorized official listed on Preferred Vascular Services Southeast 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 Preferred Vascular Services Southeast LLC's NPI active?
- Yes — Preferred Vascular Services Southeast LLC's NPI (1861992976) is active in the NPPES registry as of the last update on 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.