OrganizationActive
Northeast Georgia Vascular Center
NPI 1942553359 · Preferred Provider Organization · Gainesville, GA
Provider details
- NPI number
- 1942553359
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michael Lebow, Owner(770) 535-1948
- License
- 61114 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
4763 Shirley Rd
Gainesville, GA 30506-5108
Phone: (770) 535-1948
Fax: (770) 535-1488
Approximate (ZIP-level) locationGet directions
Mailing address
4763 Shirley Rd
Gainesville, GA 30506-5108
Other names (DBA / former)
- Doing business as
- Vascular Clinics of Northeast Georgia
Registry dates
- Enumerated
- 2012-10-23
- Last updated
- 2013-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.