ATLANTA HEART GROUP PC NPI 1760576656

NPI Information

NPI: 1760576656
Provider Name: ATLANTA HEART GROUP PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D1004558

Address:
2665 N DECATUR ROAD
SUITE 260
DECATUR, GA
ZIP 30033
Phone: (404) 297-9077
Get Directions

ATLANTA HEART GROUP PC is a cardiovascular disease internal medicine in Decatur, 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. ATLANTA HEART GROUP PC NPI is 1760576656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2665 N DECATUR ROAD
SUITE 260
DECATUR, GA
ZIP 30033-145
Phone: (404) 297-9077
Fax: (404) 296-1220

The provider's authorized official is Paul A Kirschbaum .
The authorized official title is President and has the following contact phone number (404) 297-9077.

The CLIA number assigned to this NPI record is 11D1004558 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/3/2013.

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	021728	GEORGIA	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
1	055001136A	MEDICAID	GEORGIA
2	GRP237	MEDICARE PIN	GEORGIA
3	CB1551	MEDICARE PIN	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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