NPIMap

Organization Active NPI

Georgia Cardiology Center, LLC

Doing business as Georgia Cardiology Center - WR

  • Non-Pharmacy Dispensing Site
  • Warner Robins, GA
National Provider Identifier
1578865077
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GEORGIA CARDIOLOGY CENTER, LLC
Doing business as
Georgia Cardiology Center - WR
Practice address
124 Hospital Dr
Warner Robins, GA 31088-4204
Phone
(478) 922-4626
Fax
(478) 923-7769
NPI assigned
Dec 3, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mirza W Ahmed, MD
Title
Owner
Phone
(478) 741-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X GA Primary

Addresses

Primary practice location

124 Hospital Dr
Warner Robins, GA 31088-4204

Mailing address

PO Box 4687
Macon, GA 31208-4687
Phone (478) 922-4626

Other names 1

  • Georgia Cardiology Center - WR 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": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1578865077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4687",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084687",
            "telephone_number": "478-922-4626",
            "fax_number": "478-923-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HOSPITAL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884204",
            "telephone_number": "478-922-4626",
            "fax_number": "478-923-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CARDIOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-741-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Cardiology Center - WR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.