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Organization

South Atlanta Vascular Institute, LLC

NPI Record: ActiveSurgery — Vascular Surgery
NPI1063903078
Stockbridge, Georgia

Provider's NPPES record last updated: September 9, 2026

Overview

Entity Type
Organization
NPI
1063903078
Primary Specialty
Surgery — Vascular Surgery
Practice Location
Stockbridge, Georgia
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:50 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X
  • Radiology

    Vascular & Interventional Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

    Taxonomy code 2085R0204X

Provider-Reported License Information

Surgery (Georgia)
66855
Radiology (Georgia)
70519
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4045 Mt. Zion Parkway

Stockbridge, Georgia 30281

Phone: (770) 919-5238

Record Information

Enumeration Date
May 24, 2018
Provider's NPPES Record Last Updated
September 9, 2026
Certification Date
September 8, 2026
NPISignal NPPES Dataset
August 2026

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