ANDREW NATHAN KOBYLIVKER M.D. NPI 1235322934

NPI Information

  • NPI: 1235322934
  • Provider Name: ANDREW NATHAN KOBYLIVKER, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 MOUNT ZION PKWY
    KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
    JONESBORO, GA
    ZIP 30236
  • Phone: (404) 321-6111

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NPI Details

Andrew Nathan Kobylivker, M.D. is a cardiovascular disease internal medicine in Jonesboro, GA with 20 years of experience. 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. Andrew Nathan Kobylivker, M.D. NPI is 1235322934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA
ZIP 30236-500
Phone: (404) 321-6111

The NPI 1235322934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 8/25/2007 and was last updated on 1/7/2022.

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
1207R00000XInternal Medicine059861GEORGIANo
2207RC0000XInternal MedicineCardiovascular Disease059861GEORGIAYes

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: 3/30/2025

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