Organization Active NPI

Georgia Heart Physicians LLC

  • Cardiovascular Disease Physician
  • Macon, GA
National Provider Identifier
1407994437
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GEORGIA HEART PHYSICIANS LLC
Practice address
654 First St
Macon, GA 31201
Phone
(478) 738-9443
Fax
(478) 738-9750
NPI assigned
Feb 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Obinnaya Emerole, MDNPI 1558314252
Title
MD
Phone
(478) 738-9443

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

654 First St
Macon, GA 31201

Mailing address

PO Box 6135
Macon, GA 31208
Phone (478) 738-9443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000000 GA Part B Supplier - Clinic/Group Practice 0345204418 Receives reassigned benefits from 22 practitioners
Practice locations: Fort Valley, GA; Macon, GA; Milledgeville, GA; Thomaston, GA; Warner Robins, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0977396Georgia Heart Physicians LLC654 First Street, Macon, GA 31201Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

105 Avera Dr
Fort Valley, GA 31030
Phone (478) 633-1458

654 1st St
Macon, GA 31201
Phone (478) 738-9443

800 1st St
Ste 330
Macon, GA 31201
Phone (912) 738-9443

540 W Thomas St
Ste E
Milledgeville, GA 31061
Phone (478) 738-9443

2054 Watson Blvd
#A
Warner Robins, GA 31093
Phone (478) 293-1540

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1407994437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6135",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31208",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 FIRST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEART PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "EMEROLE",
        "authorized_official_first_name": "OBINNAYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "478-738-9443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.