PREFERRED VASCULAR SERVICES SOUTHWEST – NPI #1790285229
Surgery

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

PREFERRED VASCULAR SERVICES SOUTHWEST is a surgeon located in ATLANTA, GA. NPPES has assigned the NPI number 1790285229 to PREFERRED VASCULAR SERVICES SOUTHWEST on February 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Feb 06, 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 PREFERRED VASCULAR SERVICES SOUTHWEST below.

NPI Profile for
PREFERRED VASCULAR SERVICES SOUTHWEST

NPI Number
1790285229
Enumeration Date

(more than 8 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
PREFERRED VASCULAR SERVICES SOUTHWEST
Primary location
3885 PRINCETON LAKES WAY SW STE 314
ATLANTA, GA 30331-7100
Phone: (404) 349-7770 Fax: (404) 349-7778
3 Other location(s):
3885 Princeton Lakes Way SW Ste 312B
Atlanta, GA 30331-7100
Phone: (404) 349-7770
Fax: (404) 349-7778
5835 Campbellton Rd SW Ste 104
Atlanta, GA 30331-8014
Phone: (404) 349-7770
11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone: (404) 349-7770
Mailing address
9140 CORSEA DEL FONTANA WAY
NAPLES, FL 34109-4397
Phone: Fax:
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Feb 06, 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
2086S0129X
- Surgery / Vascular Surgery (Primary)
2085R0204X
- Radiology / Vascular & Interventional Radiology

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.