Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Atlanta Vascular Institute, LLC

Organization Vascular & Interventional Radiology Physician · NPI 1063903078

South Atlanta Vascular Institute, LLC is a Vascular & Interventional Radiology Physician in Powder Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4714 Oakleigh Manor Dr
Powder Springs, GA 30127-4923
Phone: (770) 688-5334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 66855 (GA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 70519 (GA)

Record details

NPI number1063903078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Allison — Managing Member · (770) 405-8496
NPI enumeratedMay 24, 2018
Last updated in NPPESMay 24, 2018
Mailing address4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923