AMERICAN ACCESS CARE OF ATLANTA LLC NPI 1831356617

NPI Information

NPI: 1831356617
Provider Name: AMERICAN ACCESS CARE OF ATLANTA LLC

Doing Business As: AZURA VASCULAR CARE ATLANTA

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
250 E PONCE DE LEON AVE
SUITE 100
DECATUR, GA
ZIP 30030
Phone: (404) 377-9171
Get Directions

AMERICAN ACCESS CARE OF ATLANTA LLC is a vascular and interventional radiology radiology in Decatur, GA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. AMERICAN ACCESS CARE OF ATLANTA LLC NPI is 1831356617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Azura Vascular Care Atlanta.

The provider's business location address is:

250 E PONCE DE LEON AVE
SUITE 100
DECATUR, GA
ZIP 30030-440
Phone: (404) 377-9171
Fax: (404) 377-9172

The provider's authorized official is Gregg Miller .
The authorized official title is Senior Vp Operations and has the following contact phone number (718) 369-1444.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			No
2	2085R0204X	Radiology	Vascular & Interventional Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	445427462A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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