Georgia Integrative Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GEORGIA INTEGRATIVE CARDIOLOGY LLC

Practice address

5400 Laurel Springs Pkwy Ste 1401
Johns Creek, GA 30024-6098

Phone

(678) 208-0165

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jason Seth Reingold, MDNPI 1639374283

Title

Owner

Phone

(404) 946-8797

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Jason Seth Reingold, M.D.

  • Cardiovascular Disease Physician
  • Alpharetta, GA
  • NPI 1639374283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1508565060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 DAHLWINY COURT",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "404-946-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 1401",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300246098",
            "telephone_number": "678-208-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11680 Great Oaks Way Ste 170",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300222483",
            "country_code": "US",
            "telephone_number": "770-755-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5755 N Point Pkwy Ste 270",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221175",
            "country_code": "US",
            "telephone_number": "678-762-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Northside Forsyth Dr Ste 345",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416019",
            "country_code": "US",
            "telephone_number": "678-845-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA INTEGRATIVE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "REINGOLD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-946-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "64255",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.