CENTRAL GEORGIA HEART CENTER PC NPI 1780779363

NPI Information

NPI: 1780779363
Provider Name: CENTRAL GEORGIA HEART CENTER, PC

Doing Business As: CENTRAL GEORGIA HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1062 FORSYTH ST., SUITE 1B
MACON, GA
ZIP 31201
Phone: (478) 741-1208
Get Directions

CENTRAL GEORGIA HEART CENTER, PC 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. CENTRAL GEORGIA HEART CENTER, PC NPI is 1780779363. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Georgia Heart Center.

The provider's business location address is:

1062 FORSYTH ST., SUITE 1B
MACON, GA
ZIP 31201
Phone: (478) 741-1208
Fax: (478) 741-1557

The provider's authorized official is Mark Edward Dorogy .
The authorized official title is President and has the following contact phone number (478) 955-5126.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/29/2015.

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 State	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	GEORGIA	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	GEORGIA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	GEORGIA	Yes

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
1	GRP2626	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

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

NPI Synchronization or Removal

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