CLASSIC CITY CARDIOLOGY NPI 1720011489

NPI Information

NPI: 1720011489
Provider Name: CLASSIC CITY CARDIOLOGY
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1500 OGLETHORPE AVE
SUITE 300 B
ATHENS, GA
ZIP 30606
Phone: (706) 543-8444
Get Directions

CLASSIC CITY CARDIOLOGY 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. CLASSIC CITY CARDIOLOGY NPI is 1720011489. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 300 B
ATHENS, GA
ZIP 30606-179
Phone: (706) 543-8444
Fax: (706) 543-5656

The provider's authorized official is Lynn Jamison .
The authorized official title is Billing Manager and has the following contact phone number (706) 543-8444.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	038831	GEORGIA	Yes
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	038831	GEORGIA	X

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	60051487	OTHER		RAILROAD MEDICARE
2	731865	OTHER	GEORGIA	BLUE CROSS/ BLUE SHIELD

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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