Provider Type Icon

CARDIAC DISEASE SPECIALISTS PC NPI 1952496713


NPI Information

NPI: 1952496713
Provider Name: CARDIAC DISEASE SPECIALISTS, PC

Other Name: CARDIAC DISEASE SPECIALISTS, PC-ELLIJAY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
97 HEFNER ST
STE 202
EAST ELLIJAY, GA
ZIP 30540
Phone: (706) 276-4113
Get Directions

CARDIAC DISEASE SPECIALISTS, PC is a cardiovascular disease internal medicine in East Ellijay, 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 1952496713. 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-ellijay.

The provider's business location address is:

97 HEFNER ST
STE 202
EAST ELLIJAY, GA
ZIP 30540-268
Phone: (706) 276-4113
Fax: (706) 276-4113

The provider's authorized official is Harvey N 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 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.