PIEDMONT ATHENS SPECIALTY CARE LLC NPI 1184130627

NPI Information

NPI: 1184130627
Provider Name: PIEDMONT ATHENS SPECIALTY CARE LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1199 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 475-7000
Get Directions

PIEDMONT ATHENS SPECIALTY CARE LLC is a cardiovascular disease internal medicine in Athens, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PIEDMONT ATHENS SPECIALTY CARE LLC NPI is 1184130627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1199 PRINCE AVE
ATHENS, GA
ZIP 30606-797
Phone: (706) 475-7000

The provider's authorized official is Christy Aquino .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (470) 271-3427.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 8/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	208600000X	Surgery		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003208695A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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