THE VASCULAR CLINIC LLC NPI 1861439614

NPI Information

  • NPI: 1861439614
  • Provider Name: THE VASCULAR CLINIC LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Former Legal Business Name: VASCULAR CLINIC OF NORTHWEST GEORGIA, LLC
  • Address: 102 GROSS CRESCENT CIR
    SUITE 204
    FT OGLETHORPE, GA
    ZIP 30742
  • Phone: (706) 858-0204

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NPI Details

THE VASCULAR CLINIC LLC is a vascular surgery surgery in Ft Oglethorpe, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. THE VASCULAR CLINIC LLC NPI is 1861439614. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Vascular Clinic Of Northwest Georgia, Llc.

The provider's business location address is:

102 GROSS CRESCENT CIR
SUITE 204
FT OGLETHORPE, GA
ZIP 30742-600
Phone: (706) 858-0204
Fax: (706) 858-0225

The provider's authorized official is Michael B Saaka .
The authorized official title is Owner and has the following contact phone number (706) 858-0204.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 6/11/2008.

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
12086S0129XSurgeryVascular SurgeryYes

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
13734225MEDICARE PINTENNESSEE
2GRP7180MEDICARE PINGEORGIA
3143447302AMEDICAIDGEORGIA
4DG8472MEDICARE PINTENNESSEE
54176994OTHERTENNESSEETENNESSE BLUE SHIELD
63734225MEDICAIDTENNESSEE
7DE0292MEDICARE PINGEORGIA

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: 11/21/2025

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