Kennestone Heart Physicians Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2009PROFS-0051 Issued in GA

Legal business name

KENNESTONE HEART PHYSICIANS GROUP

Practice address

200 Oakside LN
Suite D
Canton, GA 30114-6416

Phone

(770) 426-4721

Fax

(678) 880-6513

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. WM Michael Brown, M.D.

Title

President

Phone

(678) 797-4113

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1306086228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609408",
            "telephone_number": "770-426-4721",
            "fax_number": "770-424-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAKSIDE LN",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146416",
            "telephone_number": "770-426-4721",
            "fax_number": "678-880-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE HEART PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-797-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "2009PROFS-0051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025641K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Joyce Keim
• Venus M Kell, NP-C
• Nicholas Kelly, MD
• Elaine G Kelpien Federico, LPC
• Sophia A Kennedy, FNP
• Kennestone Heart Physicians Group, PC
• Kenneth C Morris, D.C., P.C.
• Amy Haisley Kesler, PHARM.D
• Alexander Tkeshelashvili Kessler, M.D.
• Lauren Kettler

• Cardiovascular Disease Physician in Canton, GA
• Providers in Canton, 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 Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.