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Preferred Vascular Services Southeast LLC

Vascular Surgery Physician in Lithonia, GA · enumerated 2018 · authorized official Jennifer Baldock, Officer and Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861992976

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Registry record

Entity type Organization (Type 2)
Legal business name Preferred Vascular Services Southeast LLC
Practice address 5461 Hillandale Dr Ste 210, Lithonia, GA, 30058
Phone (770) 981-8477
Fax (770) 981-8908
Enumeration date Feb 15, 2018
Last updated in NPPES Feb 6, 2026

Taxonomy & classification

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Baldock
Title Officer and Authorized Official
Phone (615) 234-5954

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Preferred Vascular Services Southeast LLC?
Preferred Vascular Services Southeast LLC is registered in NPPES as a Vascular Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-06.