Individual provider Active NPI

William T Mahle, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Marietta, GA
National Provider Identifier
1528017258
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
50110 Issued in GA
Practice address
355 Tower Rd NE Ste 204
Marietta, GA 30060-9413
Phone
(404) 256-2593
Fax
(678) 547-1494
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 50110 GA Primary

Addresses

Primary practice location

355 Tower Rd NE Ste 204
Marietta, GA 30060-9413

Mailing address

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5528
Phone (404) 256-2593

Other identifiers 1

IdentifierTypeStateIssuer
00910302AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000721 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0446426886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of Maryland School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Children'S Healthcare of Atlanta Cardiology IncGroup PAC ID 6901888395, 31 clinicians

Practice addresses (Care Compare)

60 Executive Park S NE
Suite 100
Atlanta, GA 30329-2229
Phone (404) 256-2593

Hospital & facility affiliations

  • Athur M Blank Hospital Hospital, Atlanta, GA, CCN 113300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50110GAMDAdvanced Heart Failure and Transplant Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Jul 1, 2001 Accepting new patients

Locations

2970 Brandywine Rd
Ste 125
Atlanta, GA 30341
Phone (713) 790-9401

60 Executive Park South NE
Atlanta, GA 30329

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440

355 Tower Rd NE
Ste 204
Marietta, GA 30060

5461 Meridian Mark Rd
Ste 530
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: wmahle6116@choa.gadirect.net
  • Direct secure messaging: william.mahle@westgahealth.gadirect.net

Organizations & group practices 1

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 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1528017258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415528",
            "telephone_number": "404-256-2593",
            "fax_number": "678-547-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609413",
            "telephone_number": "404-256-2593",
            "fax_number": "678-547-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLE",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "GA",
            "license": "50110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00910302A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "355 Tower Rd NE Ste 204",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300609413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.