Organization Active NPI

TMC West Georgia Cardiology Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
National Provider Identifier
1457396384
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TMC WEST GEORGIA CARDIOLOGY INC
Practice address
705 Dixie St
Suite 401
Carrollton, GA 30117-3818
Phone
(770) 836-9326
Fax
(770) 836-9358
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dale Dreiling, M.D.
Title
Senior VP
Phone
(770) 838-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

705 Dixie St
Suite 401
Carrollton, GA 30117-3818

Mailing address

119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 836-9326

Other identifiers 1

IdentifierTypeStateIssuer
CH6189OtherGAMEDICARE ID

Other names 1

  • Tanner Heart & Vascular Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

204 Allen Memorial Dr
Ste 301
Bremen, GA 30110
Phone (770) 537-4702

204 Allen Memorial Dr
Ste 202
Bremen, GA 30110
Phone (770) 456-3380

240 Allen Memorial Dr Ste 202
Bremen, GA 30110

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

514 W Bankhead Hwy
Ste 200
Villa Rica, GA 30180
Phone (770) 456-3750

514 W Bankhead Hwy
Villa Rica, GA 30180
Phone (678) 941-3868

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1457396384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "address_2": "SUITE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-836-9326",
            "fax_number": "770-836-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "address_2": "SUITE 401",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-836-9326",
            "fax_number": "770-836-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC WEST GEORGIA CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "770-838-8038",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CH6189",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanner Heart & Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.