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GEORGIA HEART PHYSICIANS LLC NPI 1407994437


NPI Information

NPI: 1407994437
Provider Name: GEORGIA HEART PHYSICIANS LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D0977396

Address:
654 FIRST ST
MACON, GA
ZIP 31201
Phone: (478) 738-9443
Get Directions

GEORGIA HEART PHYSICIANS LLC is a cardiovascular disease internal medicine in Macon, 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. GEORGIA HEART PHYSICIANS LLC NPI is 1407994437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

654 FIRST ST
MACON, GA
ZIP 31201
Phone: (478) 738-9443
Fax: (478) 738-9750

The provider's authorized official is Obinnaya Emerole .
The authorized official title is Md and has the following contact phone number (478) 738-9443.

The CLIA number assigned to this NPI record is 11D0977396 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 10/2/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G01031MEDICARE UPIN
2GRP3732MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3F66821MEDICARE UPIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.