Individual provider Active NPI

Mervyn B. Forman, M.D.

  • Cardiovascular Disease Physician
  • Sandy Springs, GA
National Provider Identifier
1215027461
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
035873 Issued in GA
Practice address
755 Mount Vernon Hwy NE Ste 530
Sandy Springs, GA 30328-4287
Phone
(404) 252-7970
Fax
(404) 250-0553
NPI assigned
Oct 16, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 035873 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE Ste 530
Sandy Springs, GA 30328-4287

Mailing address

755 Mount Vernon Hwy NE Ste 530
Sandy Springs, GA 30328-4287
Phone (404) 252-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000105 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284705906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology of AtlantaGroup PAC ID 6608957469, 3 clinicians

Practice addresses (Care Compare)

755 Mount Vernon Nehwy
Suite 530
Atlanta, GA 30328-4287
Phone (404) 252-7970

960 Johnson Ferry Rd
Suite 530
Atlanta, GA 30342-1630
Phone 40444619001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology of Atlanta Cardiovascular Disease CurrentSince Aug 1, 2026 Accepting new patients
SS OB GYN, PA PastSince Nov 7, 2023 Accepting new patients
Cardiology of Georgia Cardiovascular Disease PastSince Aug 1, 2026 Accepting new patients

Locations

755 Mount Vernon Hwy NE
Ste 530
Sandy Springs, GA 30328
Phone (404) 252-7970

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1858

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1215027461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 530",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284287",
            "telephone_number": "404-252-7970",
            "fax_number": "404-250-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 530",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284287",
            "telephone_number": "404-252-7970",
            "fax_number": "404-250-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "MERVYN",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "035873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.