Active NPI
Children'S Carrdiovascular Medicine P.C
- Pediatric Cardiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- CHILDREN'S CARRDIOVASCULAR MEDICINE P.C
- Practice address
- 61 Whitcher St NE
Marietta, GA 30060-1176 - Phone
- (404) 943-0289
- Fax
- (404) 943-9787
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eduardo Montana Jr., M.D
- Title
- Executive Medical Director
- Phone
- (404) 943-0289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
61 Whitcher St NE
Marietta, GA 30060-1176
Mailing address
61 Whitcher St NE
Marietta, GA 30060-1176
Phone (404) 943-0289
National Provider Directory
National Provider DirectoryLocations
4166 Buford Hwy NE
Ste 1102
Atlanta, GA 30345
Phone (404) 785-8150
620 J L White Dr
Ste 110A
Jasper, GA 30143
780 Canton Rd NE
Ste 350
Marietta, GA 30060
Phone (404) 943-0289
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Marietta, GA
- NPI 1174554588
-
- Family Nurse Practitioner
- Smyrna, GA
- NPI 1194532358
-
- Physician Assistant
- Marietta, GA
- NPI 1386129724
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1013315167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003934480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "404-943-0289",
"fax_number": "404-943-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "404-943-0289",
"fax_number": "404-943-9787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S CARRDIOVASCULAR MEDICINE P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTANA",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "EXECUTIVE MEDICAL DIRECTOR",
"authorized_official_telephone_number": "404-943-0289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.