Organization Active NPI

North Atlanta Heart & Vascular Centre

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1174641898
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTH ATLANTA HEART & VASCULAR CENTRE
Practice address
960 Sanders Rd Ste 700
Cumming, GA 30041-6058
Phone
(770) 887-3255
NPI assigned
Mar 27, 2007
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dr. Bhaskar Reddy, MDNPI 1871502492
Title
President
Phone
(770) 887-3255

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 NU Primary

Addresses

Primary practice location

960 Sanders Rd Ste 700
Cumming, GA 30041-6058

Mailing address

960 Sanders Rd Ste 700
Cumming, GA 30041-6058
Phone (770) 887-3255

Other identifiers 1

IdentifierTypeStateIssuer
179889687AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000195 GA Part B Supplier - Clinic/Group Practice 1951351170 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA; Dawsonville, GA; Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

11780 Northfall Ln
Ste 304
Alpharetta, GA 30009
Phone (770) 663-8761

925 Sanders Rd
Ste 400
Cumming, GA 30041
Phone (678) 501-5601

Practitioners & affiliated clinicians

Practitioners 4

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1174641898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416058",
            "telephone_number": "770-887-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416058",
            "telephone_number": "770-887-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA HEART & VASCULAR CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-06-13",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-887-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179889687A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.