Organization Active NPI

North Atlanta Cardiology PC

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1306139449
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTH ATLANTA CARDIOLOGY PC
Practice address
2870 Ronald Reagan Blvd Ste 200
Cumming, GA 30041-6092
Phone
(404) 994-4561
Fax
(404) 994-4562
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Dr. Micky Mishra, M.D.NPI 1700053469
Title
Ceo
Phone
(404) 994-4561

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2870 Ronald Reagan Blvd Ste 200
Cumming, GA 30041-6092

Mailing address

2870 Ronald Reagan Blvd Ste 200
Cumming, GA 30041-6092
Phone (404) 994-4561

Other practice location 1

3890 Johns Creek Pkwy Ste 240
Johns Creek, GA 30024-1286
Phone (404) 994-4561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000312 GA Part B Supplier - Clinic/Group Practice 0143498170 Receives reassigned benefits from 3 practitioners
Practice locations: Cumming, GA; Suwanee, GA

National Provider Directory

National Provider Directory

Locations

2870 Ronald Reagan Blvd
#200
Cumming, GA 30041
Phone (404) 994-4561

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAACA

Practitioners & affiliated clinicians

Practitioners 3

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": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1306139449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 RONALD REAGAN BLVD STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416092",
            "telephone_number": "404-994-4561",
            "fax_number": "404-994-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 RONALD REAGAN BLVD STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416092",
            "telephone_number": "404-994-4561",
            "fax_number": "404-994-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3890 Johns Creek Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300241286",
            "country_code": "US",
            "telephone_number": "404-994-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH ATLANTA CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "MICKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-994-4561",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.