Peachtree Cardiology

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

PEACHTREE CARDIOLOGY

Practice address

100 McWilliams Drive
Peachtree City, GA 30269

Phone

(770) 702-1864

Fax

(833) 305-0287

NPI assigned

Jul 17, 2020

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aslam KhanNPI 1053572123

Title

Owner

Phone

(770) 702-1864

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Aslam Mohammed Khan, MD

  • Clinical Cardiac Electrophysiology Physician
  • Peachtree City, GA
  • NPI 1053572123

  Cardiovascular Disease

  NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1447868278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCWILLIAMS DRIVE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-702-1864",
            "fax_number": "833-305-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCWILLIAMS DRIVE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-702-1864",
            "fax_number": "833-305-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASLAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-702-1864",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL CARDIAC ELECTROPHYSIOLOGY",
            "identifier": "86128",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cardiac Electrophysiology Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Clinical Cardiac Electrophysiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.