OrganizationActive
Georgia Vascular Institute, LLC
NPI 1912136524 · Vascular & Interventional Radiology Physician · Atlanta, GA
Provider details
- NPI number
- 1912136524
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Holly Farrow, Coo(770) 506-4007
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
3886 Princeton Lakes Way Sw Ste 100
Atlanta, GA 30331-5511
Phone: (770) 506-4007
Fax: (678) 623-3543
Street-level locationGet directions
Mailing address
3886 Princeton Lakes Way Sw Ste 100
Atlanta, GA 30331-5511
Additional practice locations (2)
- 8225 Mall Pkwy Ste 230Lithonia, GA 30038-6913Phone: (770) 506-4007Fax: (678) 246-5191
- 1215 Eagles Landing Pkwy Ste 105Stockbridge, GA 30281-5084Phone: (770) 506-4007Fax: (678) 246-5191
Registry dates
- Enumerated
- 2009-07-06
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.