Organization Active NPI

Athens Heart Center, PC

Doing business as AHC Specialty Clinics

  • Cardiovascular Disease Physician
  • Athens, GA
National Provider Identifier
1164926739
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATHENS HEART CENTER, PC
Doing business as
AHC Specialty Clinics
Practice address
1999 Prince Ave
Athens, GA 30606-6013
Phone
(706) 356-8181
NPI assigned
Mar 20, 2018
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENS HEART CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Subodh K Agrawal, MDNPI 1366443640
Title
MD
Phone
(706) 208-8258

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)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1999 Prince Ave
Athens, GA 30606-6013

Mailing address

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 356-8181

Other names 1

  • AHC Specialty Clinics Doing business as

National Provider Directory

National Provider Directory
Part of
Athens Heart Center PC

Locations

1999 Prince Ave
Athens, GA 30606
Phone (706) 227-6002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1164926739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066032",
            "telephone_number": "706-356-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066013",
            "telephone_number": "706-356-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS HEART CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENS HEART CENTER, PC",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "706-208-8258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC Specialty Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHC Specialty Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.