# PEACHTREE VASCULAR ASSOCIATES, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629130851
- **Authorized official:** DR. GEORGE MICHAEL SKARDASIS M.D. (PRESIDENT)
- **Authorized official phone:** (404) 681-3190

## Contact information

- **Practice address:** 550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2232
- **Practice address phone:** (404) 681-3190
- **Practice address fax:** (404) 681-3193
- **Mailing address:** 550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2247
- **Mailing address phone:** (404) 681-3190
- **Mailing address fax:** (404) 681-3193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 06/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00053633A | — | GA |
| 01 | — | 020044829 | MEDICARE RAILROAD | GA |
| 01 | — | 1013082387 | NPI | GA |
| 01 | — | 17-05841 | HEALTH FIRST | GA |
| 01 | — | 212200 | BLUE CROSS BLUE SHIELD | GA |
| 01 | — | 253729461 | CHAMPUS | GA |
| 01 | — | 578663 | AETNA | GA |
| 01 | — | GRP1615 | MEDICARE | GA |