Kennestone Heart Physicians Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

00058204 Issued in GA

Legal business name

KENNESTONE HEART PHYSICIANS GROUP

Practice address

101 Riverstone Vis
Suite 217
Blue Ridge, GA 30513-6648

Phone

(706) 632-8008

Fax

(706) 632-8070

NPI assigned

Jun 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie M Doyle

Title

Manager, Physician Services

Phone

(678) 797-1113

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1003011776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609408",
            "telephone_number": "770-426-4721",
            "fax_number": "770-424-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 217",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-8008",
            "fax_number": "706-632-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE HEART PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "678-797-1113"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "00058204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Greenwald
• April Michelle Jones
• Ashley Megan Jones
• Jennifer Lee Jones, MD
• Susan K Kauffman, LMHC
• Kenney S. Atkins M.D.,P.C.
• Kimberly R Denton, MD, PC
• Jeremy Keith King, M.ED, LAT, ATC, ITAT
• Kaylee Elizabeth Kinser
• Lindsey Daugherty Kirn, PHARMD

• Cardiovascular Disease Physician in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.