Organization Active NPI

New Heart Medical LLC

Doing business as New Heart Medical

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1528550670
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NEW HEART MEDICAL LLC
Doing business as
New Heart Medical
Practice address
1021 Rosser St NW
Conyers, GA 30012-4463
Phone
(404) 840-3934
NPI assigned
Jun 5, 2018
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Mrs. Tamu Spruill-Barton, FNP
Title
Owner/Authorized Official
Phone
(770) 648-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1021 Rosser St NW
Conyers, GA 30012-4463

Mailing address

1021 Rosser St NW
Conyers, GA 30012-4463
Phone (770) 648-6804

Other names 1

  • New Heart Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1528550670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ROSSER ST NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124463",
            "telephone_number": "770-648-6804",
            "fax_number": "770-648-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 ROSSER ST NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124463",
            "telephone_number": "404-840-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEART MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "SPRUILL-BARTON",
        "authorized_official_first_name": "TAMU",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "770-648-6804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Heart Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.