Provider Type Icon

CARDIAC DISEASE SPECIALISTS PC NPI 1689769507


NPI Information

NPI: 1689769507
Provider Name: CARDIAC DISEASE SPECIALISTS, PC

Other Name: CARDIAC DISEASE SPECIALISTS, PC-FAYETTEVILLE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1267 HIGHWAY 54 W
STE 2200
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 716-0051
Get Directions

CARDIAC DISEASE SPECIALISTS, PC is a cardiovascular disease internal medicine in Fayetteville, 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. CARDIAC DISEASE SPECIALISTS, PC NPI is 1689769507. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Cardiac Disease Specialists, Pc-fayetteville.

The provider's business location address is:

1267 HIGHWAY 54 W
STE 2200
FAYETTEVILLE, GA
ZIP 30214-548
Phone: (770) 716-0051
Fax: (770) 716-0087

The provider's authorized official is Harvey Sacks .
The authorized official title is President and has the following contact phone number (404) 355-9815.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/8/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyNo
2207RC0000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP595MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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: 5/5/2024

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.