Active NPI
Piedmont Athens Specialty Care LLC
- Cardiovascular Disease Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PIEDMONT ATHENS SPECIALTY CARE LLC
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-7000
- NPI assigned
- Dec 20, 2017
- Last updated
- Aug 11, 2021
- 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
- Mrs. Christy Aquino
- Title
- Director of Provider Enrollment
- Phone
- (470) 271-3427
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
PO Box 117265
Atlanta, GA 30368-7264
Phone (706) 475-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003208695A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Internal Medicine Physician
- Athens, GA
- NPI 1235585092
Member Of
Locations
1 Selig Cir
Athens, GA 30602
Phone (706) 542-6521
100 Smith St
Athens, GA 30602
Phone (706) 542-6521
1270 Prince Ave
Ste 303
Athens, GA 30606
Phone (706) 543-8172
1500 Oglethorpe Ave
Ste 500B
Athens, GA 30606
Phone (706) 548-5833
1500 Oglethorpe Ave
Ste 600CD
Athens, GA 30606
Phone (706) 546-5191
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
1301 Sigman Rd NE
Ste 280
Conyers, GA 30012
Phone (678) 413-6276
1412 Milstead Ave NE
Ste 100
Conyers, GA 30012
Phone (770) 483-9330
9202 Highway 278 NE
Ste 100E
Covington, GA 30014
Phone (678) 342-8671
1077 S Main St
Ste 200
Madison, GA 30650
Phone (770) 264-0978
2151 W Spring St
Ste 110
Monroe, GA 30655
Phone (770) 267-1895
2151 W Spring St
Ste B140
Monroe, GA 30655
Phone (678) 214-6118
795 Poplar Rd
Ste 400
Newnan, GA 30265
Phone (770) 254-6089
1305 Jennings Mill Rd
Ste 110
Watkinsville, GA 30677
Phone (706) 613-5880
1305 Jennings Mill Rd
Ste 250
Watkinsville, GA 30677
1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008
1305 Jennings Mill Rd
Ste 290A
Watkinsville, GA 30677
Phone (706) 552-1840
1305 Jennings Mill Rd
Ste 290B
Watkinsville, GA 30677
Phone (706) 552-1730
Practitioners & affiliated clinicians
Practitioners 640
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.
-
- Adult Health Nurse Practitioner
- Atlanta, GA
- NPI 1740371848
-
- Internal Medicine Physician
- Athens, GA
- NPI 1285164368
-
- Specialist
- Conyers, GA
- NPI 1871688820
-
- Physician Assistant
- Athens, GA
- NPI 1467933564
-
- Orthopaedic Surgery Physician
- Watkinsville, GA
- NPI 1467715540
-
- Surgery Physician
- Athens, GA
- NPI 1548245913
-
- Midwife
- Athens, GA
- NPI 1679517817
-
- Nurse Practitioner
- Athens, GA
- NPI 1598235590
-
- Obstetrics Physician
- Athens, GA
- NPI 1053531954
-
- Adult Health Nurse Practitioner
- Gainesville, GA
- NPI 1689009417
-
- Family Nurse Practitioner
- Athens, GA
- NPI 1780994707
-
- Nuclear Cardiology Physician
- Athens, GA
- NPI 1588993414
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1184130627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117265",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687264",
"telephone_number": "706-475-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT ATHENS SPECIALTY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-20",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "AQUINO",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "470-271-3427",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003208695A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
- Piedmont Athens Regional Medical Center, Inc (Beautiful You)
- Piedmont Athens Regional Medical Center, Inc. (Piedmont Home Infusion)
- Piedmont Athens Regional Medical Center, Inc. (Piedmont Home Health)
- Piedmont Athens Regional Medical Center, Inc.
- Piedmont Athens Regional Medical Center, Inc. (Piedmont Athens Regional Pharmacy)
- Piedmont Healthcare Encompass Health Rehabilitation Hospital of Athens (Rehabilitation Hospital of Athens)
- Piedmont Urgent Care Wellstreet
- Tim Pierce-Tomlin, MS, LPC
- Judson Todd Pierce
- Linda Sue Pierce, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.