GEORGIA HEART CARE LLC NPI 1689728636

NPI Information

  • NPI: 1689728636
  • Provider Name: GEORGIA HEART CARE, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 11D2000572
  • Address: 1200 BALD RIDGE MARINA RD
    SUITE 150
    CUMMING, GA
    ZIP 30041
  • Phone: (770) 886-0003

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NPI Details

GEORGIA HEART CARE, LLC is a specialist in Cumming, 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. GEORGIA HEART CARE, LLC NPI is 1689728636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 BALD RIDGE MARINA RD
SUITE 150
CUMMING, GA
ZIP 30041-494
Phone: (770) 886-0003
Fax: (770) 886-5030

The provider's authorized official is Yitzhak Isaac Hermoni .
The authorized official title is Owner and has the following contact phone number (770) 886-0003.

The CLIA number assigned to this NPI record is 11D2000572 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 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
1174400000XSpecialist033352GEORGIAYes

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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