Organization Active NPI

Cardiovascular Clinic of North Georgia PC

  • Cardiovascular Disease Physician
  • Gainesville, GA
National Provider Identifier
1578839296
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
47878 Issued in GA
Legal business name
CARDIOVASCULAR CLINIC OF NORTH GEORGIA PC
Practice address
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone
(678) 825-3685
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Dr. Salman Ashfaq, MDNPI 1912985052
Title
President
Phone
(316) 650-0637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 47878 GA Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X 47878 GA

Addresses

Primary practice location

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806

Mailing address

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 825-3685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000339 GA Part B Supplier - Clinic/Group Practice 9830350735 Receives reassigned benefits from 26 practitioners
Practice locations: Johns Creek, GA; Winder, GA; Suwanee, GA; Lawrenceville, GA; Hoschton, GA; Gainesville, GA; Dillard, GA; Clayton, GA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2038386Cardiovascular Clinic of North Georgia1475 Jesse Jewell Parkway, Suite 300, Gainesville, GA 30501Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

4700 Nelson Brogdon Blvd
Ste 260
Buford, GA 30518

4700 Nelson Brogdon Blvd
Ste 2
Buford, GA 30518

4700 Nelson Brogdon Blvd
Ste 200
Buford, GA 30518
Phone (678) 546-2929

162 Legacy Pt
Ste 300
Clayton, GA 30525

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

771 Old Norcross Rd
Ste 310
Lawrenceville, GA 30046
Phone (770) 513-5999

1120 Peachtree Industrial Blvd
Ste 209
Suwanee, GA 30024
Phone (678) 312-8400

2009 Lawrenceville Suwanee Rd
Suwanee, GA 30024

317 Resource Pkwy
Winder, GA 30680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1578839296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-825-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-825-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CLINIC OF NORTH GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "ASHFAQ",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-650-0637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "47878",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "47878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.