Organization Active NPI

Atlanta Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Alpharetta, GA
National Provider Identifier
1275978439
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30065 Issued in GA
Legal business name
ATLANTA CARDIOLOGY ASSOCIATES, LLC
Practice address
11680 Great Oaks Way Ste 100
Alpharetta, GA 30022-2458
Phone
(404) 272-4888
Fax
(404) 796-7099
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Authorized official

Name
Dr. Winston Harold Gandy Jr., M.D.NPI 1760481477
Title
Ceo
Phone
(404) 272-4888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 30065 GA Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

11680 Great Oaks Way Ste 100
Alpharetta, GA 30022-2458

Mailing address

385 Lum Crowe Rd
Roswell, GA 30075-6879
Phone (404) 272-4888

Other practice location 1

35 W Church St Ste 101
Jasper, GA 30143-1618
Phone (404) 796-7011

Other practice location 2

1150 Lake Hearn Dr Ste 650
Atlanta, GA 30342-1550
Phone (404) 796-7011

Other practice location 3

1150 Lake Hearn Dr Ste 500
Atlanta, GA 30342-1570
Phone (404) 796-7011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000648 GA Part B Supplier - Clinic/Group Practice 2961642822 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA; Duluth, GA; Jasper, GA

National Provider Directory

National Provider Directory

Locations

11680 Great Oaks Way
Ste 100
Alpharetta, GA 30022
Phone (404) 796-7011

3855 Pleasant Hill Rd
Ste 350
Duluth, GA 30096
Phone (404) 796-7011

35 W Church St
Ste 101
Jasper, GA 30143
Phone (404) 796-7011

1150 Lake Hearn Dr
Ste 600
Sandy Springs, GA 30342
Phone (404) 255-5330

1150 Lake Hearn Dr
Ste 650
Sandy Springs, GA 30342
Phone (404) 705-5000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1275978439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LUM CROWE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756879",
            "telephone_number": "404-272-4888",
            "fax_number": "404-796-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222458",
            "telephone_number": "404-272-4888",
            "fax_number": "404-796-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 W Church St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301431618",
            "country_code": "US",
            "telephone_number": "404-796-7011",
            "fax_number": "404-796-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Lake Hearn Dr Ste 650",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421550",
            "country_code": "US",
            "telephone_number": "404-796-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Lake Hearn Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421570",
            "country_code": "US",
            "telephone_number": "404-796-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA CARDIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-272-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "30065",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.