CLASSIC CITY CARDIOLOGY NPI 1720011489

NPI Information

  • NPI: 1720011489
  • Provider Name: CLASSIC CITY CARDIOLOGY
  • Classification: Nuclear Medicine - 207UN0901X
  • Specialization: Nuclear Cardiology
  • Entity Type: Organization
  • Address: 1500 OGLETHORPE AVE
    SUITE 300 B
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 543-8444

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NPI Details

CLASSIC CITY CARDIOLOGY is a nuclear cardiology nuclear medicine in Athens, GA. The provider is a nuclear medicine physician who specializes in nuclear cardiology. CLASSIC CITY CARDIOLOGY NPI is 1720011489. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 300 B
ATHENS, GA
ZIP 30606-179
Phone: (706) 543-8444
Fax: (706) 543-5656

The provider's authorized official is Lynn Jamison .
The authorized official title is Billing Manager and has the following contact phone number (706) 543-8444.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/11/2025.

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
1207RC0000XInternal MedicineCardiovascular Disease038831GEORGIANo
2207UN0901XNuclear MedicineNuclear Cardiology038831GEORGIAYes

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
1731865OTHERGEORGIABLUE CROSS/ BLUE SHIELD
260051487OTHERRAILROAD MEDICARE

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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