Organization Active NPI

Cardiovascular Imaging of North Georgia LLC

  • Cardiovascular Disease Physician
  • East Ellijay, GA
National Provider Identifier
1407802978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
017225 Issued in GA
Legal business name
CARDIOVASCULAR IMAGING OF NORTH GEORGIA LLC
Practice address
97 Hefner St
Suite 102
East Ellijay, GA 30540-8260
Phone
(706) 636-6500
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William S Knapp, MD
Title
Coordinator
Phone
(706) 636-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 017225 GA Primary

Addresses

Primary practice location

97 Hefner St
Suite 102
East Ellijay, GA 30540-8260

Mailing address

1100 Johnson Ferry Rd NE
Suite 1065
Atlanta, GA 30342-1709
Phone (404) 851-5415

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

97 Hefner St
Ste 102
East Ellijay, GA 30540
Phone (404) 851-5443

6455 E Johns Xing
Ste 175
Johns Creek, GA 30097

1100 Johnson Ferry Rd
Ste 1065
Sandy Springs, GA 30342

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407802978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "SUITE 1065",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-851-5415",
            "fax_number": "404-303-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HEFNER ST",
            "address_2": "SUITE 102",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408260",
            "telephone_number": "706-636-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING OF NORTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "706-636-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "017225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.