NPI age
2 years
Enumerated 2023-07-26
● Active Type 2 · Organization
Premier Vascular, Llc
Premier Vascular, Llc is 1 of 268 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cudnik
Member
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 268 active surgery providers in Georgia.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1902 Forsyth St
MacOn, GA 312018132
Mailing address
451 College St Unit 13025
MacOn, GA 312083009
Authorized official
Jonathan Cudnik
Member
📞 4782509785
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Wade Carr, FNP-C Nurse Practitioner NPI 1023990975
- Jonathan Cudnik, MD Surgery NPI 1285920538
- Norman Ivey, DDS Dentist NPI 1033238795
- Amber Lawson, D.M.D. Dentist NPI 1245454099
- John Mix, M.D. Surgery NPI 1558543389
- Alex Reese, CSFA Specialist/Technologist, Other NPI 1417818758
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Premier Vascular Surgery
-
Premier Vascular Surgery
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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