Individual provider Active NPI

Dum Livinus Piawa, D.O

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1497076327
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3284 Issued in TN
Practice address
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone
(731) 512-0104
Fax
(731) 668-7388
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB09312200 NJ
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 3284 TN Primary

Addresses

Primary practice location

17 Centre Plaza Dr
Jackson, TN 38305-2862

Mailing address

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Other identifiers 2

IdentifierTypeStateIssuer
1396033379OtherTNNPI
Q028999MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dumpiawa@hvcwtn.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170727001753 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5698919421 Reassigns benefits to 1 organization
I20231213000761 GA Practitioner - Interventional Cardiology 5698919421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, shared by 2 NPIs, 45 clinicians

Practice addresses (Care Compare)

101 Greenfield Dr
Suite 260
Cumming, GA 30040-2727
Phone (678) 513-2273

970 Joe Frank Harris Pkwy SE
Suite 380a
Cartersville, GA 30120-2159
Phone (678) 513-2273

Hospital & facility affiliations

  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
90.12
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
79.9
Improvement activities
40
Cost
80.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3284TNMDChiropractor
25MB09312200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Clinics, PLC Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
Heart and Vascular Care CurrentSince Jan 1, 2024 Accepting new patients
Heart and Vascular Care, LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120

3970 Deputy Bill Cantrell Mem
Ste 100
Cumming, GA 30040

101 Greenfield Dr
Ste 260
Cumming, GA 30040

73 Prestige Ln
Ste 205
Dawsonville, GA 30534

80 Horizon Dr
Suwanee, GA 30024

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

9486 Highway 412 W
Lexington, TN 38351
Phone (731) 512-0104

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dum.piawa.1@1164.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1497076327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAWA",
        "first_name": "DUM",
        "middle_name": "LIVINUS",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09312200",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396033379",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028999",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dumpiawa@hvcwtn.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "17 Centre Plaza Dr",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383052862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.