CENTER FOR INFECTIOUS DISEASES LLC NPI 1578755351

NPI Information

  • NPI: 1578755351
  • Provider Name: CENTER FOR INFECTIOUS DISEASES LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 11D1038507
  • Address: 100 MARKET PLACE BLVD
    SUITE 207
    CARTERSVILLE, GA
    ZIP 30121
  • Phone: (678) 721-6971

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NPI Details

CENTER FOR INFECTIOUS DISEASES LLC is a specialist in Cartersville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR INFECTIOUS DISEASES LLC NPI is 1578755351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MARKET PLACE BLVD
SUITE 207
CARTERSVILLE, GA
ZIP 30121-718
Phone: (678) 721-6971
Fax: (678) 721-6974

The provider's authorized official is Aman Mongia .
The authorized official title is Physician and has the following contact phone number (678) 721-6971.

The CLIA number assigned to this NPI record is 11D1038507 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 9/22/2015.

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
1174400000XSpecialist55685GEORGIANo
2174400000XSpecialist055510GEORGIAYes

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
1I27288MEDICARE UPIN
2537456433AMEDICAIDGEORGIA

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: 11/21/2025

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