Organization Active NPI

American Cardiovascular Centers, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1306357470
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN CARDIOVASCULAR CENTERS, P.C.
Practice address
6105 Peachtree Dunwoody Rd Ste A150
Atlanta, GA 30328
Phone
(404) 996-6596
NPI assigned
Oct 17, 2017
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN CARDIOVASCULAR CENTERS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Rebecca Smith
Title
Credentialing
Phone
(813) 416-6438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6105 Peachtree Dunwoody Rd Ste A150
Atlanta, GA 30328

Mailing address

6105 Peachtree Dunwoody Rd Ste A150
Atlanta, GA 30328-5944
Phone (404) 996-6596

Other practice location 1

14244 Highway 515 N Ste 100
Ellijay, GA 30536
Phone (404) 996-6596

Other practice location 2

120 Gordon St
Washington, GA 30673-1602
Phone (404) 996-6596

Other practice location 3

88 Clinic Rd
Tate, GA 30177-2588
Phone (404) 996-6596

Other practice location 4

130 Sparta Hwy
Eatonton, GA 31024-8484
Phone (404) 996-6596

National Provider Directory

National Provider Directory
Part of
American Cardiovascular Centers PC

Locations

130 Sparta Hwy
Eatonton, GA 31024
Phone (404) 996-6596

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1306357470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD STE A150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285944",
            "telephone_number": "404-996-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD STE A150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-996-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14244 Highway 515 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "30536",
            "country_code": "US",
            "telephone_number": "404-996-6596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Gordon St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "GA",
            "postal_code": "306731602",
            "country_code": "US",
            "telephone_number": "404-996-6596",
            "fax_number": "770-557-0535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Clinic Rd",
            "address_purpose": "LOCATION",
            "city": "Tate",
            "state": "GA",
            "postal_code": "301772588",
            "country_code": "US",
            "telephone_number": "404-996-6596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Sparta Hwy",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310248484",
            "country_code": "US",
            "telephone_number": "404-996-6596",
            "fax_number": "770-557-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN CARDIOVASCULAR CENTERS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN CARDIOVASCULAR CENTERS, P.C.",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "813-416-6438"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.