Cardiology Center of Dalton PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

038162 Issued in GA

Legal business name

CARDIOLOGY CENTER OF DALTON PC

Practice address

1411 Chattanooga Ave
Suite 101
Dalton, GA 30720-2673

Phone

(706) 272-0272

Fax

(706) 272-0276

NPI assigned

Jul 28, 2006

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ezad N Ahmad, M.D.NPI 1770597361

Title

President

Phone

(706) 272-0272

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.422

Practitioners 5

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.

• Ezad N Ahmad, M.D.

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1770597361
  Medicare reassignment Care Compare group Authorized official
• Stephanie Nicole Jinright, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1225635824
  Medicare reassignment Care Compare group NPD
• Alison McBride, NP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1548741614
  Medicare reassignment NPD
• Rachel Krumrie

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1013542018

  GA

  Medicare reassignment NPD
• Stacy Kay Whitehead, FNP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1275969081
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1295749125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-272-0272",
            "fax_number": "706-272-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202673",
            "telephone_number": "706-272-0272",
            "fax_number": "706-272-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CENTER OF DALTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "EZAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-272-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "038162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000653397D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Marie Campbell
• Telisha Rose Campbell
• Stefan Canacevic, M.D
• Candler Road Dental, PC (Franklin Dental & Braces)
• Hannah Lee Cannon, M.S. CCC-SLP
• Nancy Carnevale, MD
• Natasha Nicole Carr
• Travis Rod Carroll, M.D.
• Tricia Marie Carroll, OTR
• David Stephen Carson Sr., MD

• Cardiovascular Disease Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.