Provider Type Icon

MERVYN B FORMAN MD L.L.C NPI 1912165382


NPI Information

NPI: 1912165382
Provider Name: MERVYN B FORMAN MD, L.L.C

Doing Business As: CARDIOVASCULAR ASSOCIATES OF SANDY SPRINGS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D1103011

Address:
960 JOHNSON FERRY RD NE
STE 530
ATLANTA, GA
ZIP 30342
Phone: (404) 446-1900
Get Directions

MERVYN B FORMAN MD, L.L.C is a cardiovascular disease internal medicine in Atlanta, 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. MERVYN B FORMAN MD, L.L.C NPI is 1912165382. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Associates Of Sandy Springs.

The provider's business location address is:

960 JOHNSON FERRY RD NE
STE 530
ATLANTA, GA
ZIP 30342-631
Phone: (404) 446-1900

The provider's authorized official is Mervyn B Forman .
The authorized official title is Physician and has the following contact phone number (404) 446-1900.

The CLIA number assigned to this NPI record is 11D1103011 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 12/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease035873GEORGIAYes

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

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.