USA VEIN CLINICS OF DECATUR LLC – Vascular Surgery Physician, NPI 1912301003
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for USA VEIN CLINICS OF DECATUR LLC
495 WINN WAY
SUITE 220
DECATUR, GA 300301736
Phone: (847) 305-3346
Type: Mailing
305 Brookhaven Ave NE Ste B1180C
Brookhaven, GA 303193253
Phone: (404) 705-9099
Type: Location
2775 Old Milton Pkwy Ste 200C
Alpharetta, GA 300092212
Phone: (678) 273-7795
Type: Location
1300 Ernest W Barrett Pkwy NW Ste 230C
Kennesaw, GA 301525005
Phone: (678) 385-4670
Type: Location
1200 Johnson Ferry Rd Ste T-100
Marietta, GA 300685403
Phone: (404) 418-4648
Type: Location
3875 Austell Rd Ste 201B
Austell, GA 301061153
Phone: (470) 372-1042
Fax: (224) 235-4652
Type: Location
771 Old Norcross Rd Ste 340C
Lawrenceville, GA 300464386
Phone: (678) 273-7506
Type: Location
1800 Howell Mill Rd NW Ste 130
Atlanta, GA 303180916
Phone: (404) 532-1564
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150316000937 | O | Clinic/Group Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30030)
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