Southern Vascular Specialists LLC
NPI 1194277210ActiveOrganization· Surgery, Vascular Surgery· Thomasville, GA
Surgery, Vascular Surgery in Thomasville, Georgia, registered in NPPES in October 2016. The authorized official on file is Albert Isaac Richardson, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194277210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Oct 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 055328 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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