ADVANCED VASCULAR AND VEIN, PC – NPI #1174487995
Radiology

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

Health Care Provider Taxonomy Code for Radiology

ADVANCED VASCULAR AND VEIN, PC is a radiologist located in DECATUR, GA. NPPES has assigned the NPI number 1174487995 to ADVANCED VASCULAR AND VEIN, PC on December 15, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

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 ADVANCED VASCULAR AND VEIN, PC below.

NPI Profile for
ADVANCED VASCULAR AND VEIN, PC

NPI Number
1174487995
Enumeration Date

(about 6 months 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
ADVANCED VASCULAR AND VEIN, PC
Primary location
2711 IRVIN WAY STE 102
DECATUR, GA 30030-5405
Phone: (678) 344-8900 Fax: (678) 666-5201
Mailing address
1551 JANMAR RD
SNELLVILLE, GA 30078-5606
Phone: (470) 579-5600 Fax: (678) 691-0506
Organization Subpart
No
Authorized Official
BRADLEY WHITE
OWNER
Phone: (239) 223-9105
Updated
Certification Date
Dec 15, 2025

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
2085R0204X
- Radiology / Vascular & Interventional Radiology (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.