NPIMap

Adventist Health System/Sunbelt, Inc.

Organization Active NPI Family Medicine Physician · Cartersville, GA

NPI 1437972742 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1437972742
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Practice address
328 E Main St Ste 101
Cartersville, GA 30120-3278
Phone
(407) 200-2300
NPI assigned
Nov 5, 2024
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Authorized official

Name
Scott C Brady, MD
Title
President
Phone
(407) 200-2300

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 93

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2326867Adventhealth Primary Care + Cartersville
328 E Main Street, Cartersville, GA 30120		Certificate of waiverJul 10, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250830000619 GA Part B Supplier - Clinic/Group Practice 3274657721 Practice locations: Cartersville, GA

National Provider Directory

Tax ID family
Adventist Health Systemsunbelt Inc (42 organizations share this tax ID)
Part of
Adventist Health Systemsunbelt Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

328 E Main St Ste 101
Cartersville, GA 30120-3278

Mailing address

2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300

Other names

  • AH Total Health Management AdventHealth Primary Care Plus Cartersville Doing business as

Other providers in Cartersville, GA

All providers in Cartersville, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.