Cardiology Group, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY GROUP, PC

Practice address

1801 N Jackson St
Tullahoma, TN 37388-2201

Phone

(931) 393-7831

Fax

(931) 393-7833

NPI assigned

May 14, 2007

Organization subpart

No

Name

Wilburn Edwin George Jr., MDNPI 1902862519

Title

President

Phone

(931) 393-7831

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilburn Edwin George Jr., MD

  • Cardiovascular Disease Physician
  • Tullahoma, TN
  • NPI 1902862519
  NPD (past) Authorized official CARDIOVASCULAR DISEASE
• Jayant Bagai, MD

  • Interventional Cardiology Physician
  • Nashville, TN
  • NPI 1073607784
  NPD (past) CARDIOVASCULAR DISEASE
• Dinesh K Gupta, M.D.

  • Cardiovascular Disease Physician
  • Nashville, TN
  • NPI 1831182443
  NPD (past) CARDIOVASCULAR DISEASE
• Rimda Gupta, M.D.

  • Internal Medicine Physician
  • Tullahoma, TN
  • NPI 1679566772
  NPD (past)
• Connie S Leanza, CRNP

  • Acute Care Nurse Practitioner
  • Tullahoma, TN
  • NPI 1205921152
  NPD (past)
• Daniel Bruce Jovanovich, MD

  • Cardiovascular Disease Physician
  • Weirton, WV
  • NPI 1336105949
  NPD (past) CARDIOVASCULAR DISEASE
• Robert Edward Quinlan Jr., D.O.

  • Cardiovascular Disease Physician
  • South Haven, MI
  • NPI 1669786158
  NPD (past) CARDIOVASCULAR DISEASE

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043425705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880938",
            "telephone_number": "931-393-4764",
            "fax_number": "931-393-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882201",
            "telephone_number": "931-393-7831",
            "fax_number": "931-393-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "WILBURN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-393-7831",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CONNIE LEANZA",
            "identifier": "1205921152",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085951",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3883725",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3906568",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DINESH GUPTA",
            "identifier": "1831182443",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI WILBURN GEORGE",
            "identifier": "1902862519",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014316",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy W Campbell, CCC-SLP
• Canonico Ear, Nose and Throat, P.C.
• Domenic Michael Canonico, M.D.
• Herbert Cantrell
• Cardiology & Vascular Associates
• Caris Healthcare
• Jessica Carpenter, PHARMD
• Mark Allen Carrick
• Phillip Sean Carroll, DPT
• Kristina Danette Carter, PHARM D

• All providers in Tullahoma, TN
• Cardiovascular Disease Physician in Tennessee

• 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.

Verify at the official NPI Registry.