SOUTHWEST ATLANTA VASCULAR CARE, LLC – NPI #1295256295
Clinic/Center

SOUTHWEST ATLANTA VASCULAR CARE, LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1295256295 to SOUTHWEST ATLANTA VASCULAR CARE, LLC on June 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWEST ATLANTA VASCULAR CARE, LLC below.

NPI Profile for
SOUTHWEST ATLANTA VASCULAR CARE, LLC

NPI Number
1295256295
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST ATLANTA VASCULAR CARE, LLC
Primary location
3885 PRINCETON LAKES WAY SW STE 314
ATLANTA, GA 30331-7100
Phone: (404) 349-7770 Fax: (404) 349-7770
Mailing address
9140 CORSEA DEL FONTANA WAY
NAPLES, FL 34109-4397
Phone: (239) 597-2010 Fax:
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFIICAL
Phone: (615) 234-5954
Updated
Certification Date
Feb 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.