NPIMap

Organization Active NPI

Athens Heart Center, PC

  • Cardiovascular Disease Physician
  • Athens, GA
National Provider Identifier
1447338744
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATHENS HEART CENTER, PC
Practice address
2005 Prince Ave
Athens, GA 30606-6032
Phone
(706) 208-9700
NPI assigned
Nov 2, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Subodh K Agrawal, MDNPI 1366443640
Title
Employee
Phone
(706) 208-9700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Cardiovascular Disease Physician 207RC0000X Primary
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

2005 Prince Ave
Athens, GA 30606-6032

Mailing address

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700

Other practice location 1

1999 Prince Ave
Athens, GA 30606-6013
Phone (706) 208-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000014 GA Part B Supplier - Clinic/Group Practice 0244134583 Receives reassigned benefits from 10 practitioners
Practice locations: Athens, GA; Lavonia, GA; Eatonton, GA; Danielsville, 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
11D0879792Athens Heart Center2005 Prince Ave, Athens, GA 30606Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

1095 Lake Oconee Pkwy
Eatonton, GA 31024

1097 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (478) 457-0037

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1447338744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066032",
            "telephone_number": "706-208-9700",
            "fax_number": "706-208-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066032",
            "telephone_number": "706-208-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1999 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306066013",
            "country_code": "US",
            "telephone_number": "706-208-9700",
            "fax_number": "706-208-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHENS HEART CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "706-208-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.