Organization Active NPI

Atlanta Cardiac & Thoracic Surgery

  • Specialist
  • Atlanta, GA
National Provider Identifier
1376753970
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ATLANTA CARDIAC & THORACIC SURGERY
Practice address
960 Johnson Ferry Rd NE Ste 100
Atlanta, GA 30342-1601
Phone
(404) 252-9063
Fax
(404) 252-0873
NPI assigned
May 23, 2007
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Steve Cook
Title
Billing Manager
Phone
(404) 252-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

960 Johnson Ferry Rd NE Ste 100
Atlanta, GA 30342-1601

Mailing address

960 Johnson Ferry Rd NE Ste 100
Atlanta, GA 30342-1601
Phone (404) 252-9063

Other identifiers 1

IdentifierTypeStateIssuer
300032351AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1376753970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-252-9063",
            "fax_number": "404-252-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-252-9063",
            "fax_number": "404-252-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CARDIAC & THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-252-9063"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032351A",
            "state": "GA"
        }
    ],
    "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 Jan 13, 2010; 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.