MEDICARE: JEFFREY NEIL WINTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	036044	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477594547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY NEIL WINTER M.D.

Provider Business Mailing Address
First Line	:	60 CHASTAIN CENTER BLVD NW STE 66
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-5598
Country	:	US
Telephone Number	:	770-423-0595
Fax Number	:	678-388-1627

Provider Business Practice Location Address
First Line	:	61 WHITCHER ST NE STE 2100
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-1179
Country	:	US
Telephone Number	:	770-423-0595
Fax Number	:	678-391-5055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/19/2025

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