Individual provider Active NPI

Antonio V Baute, MD

  • Cardiovascular Disease Physician
  • Cartersville, GA
National Provider Identifier
1629061395
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19142 Issued in GA
Practice address
40 Fox Chase
Cartersville, GA 30120-2491
Phone
(770) 382-0185
Fax
(770) 382-0247
NPI assigned
Aug 26, 2005
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19142 GA
Cardiovascular Disease Physician 207RC0000X 19142 GA Primary
Nuclear Cardiology Physician 207UN0901X 19142 GA
Nuclear Imaging & Therapy Physician 207UN0902X 19142 GA

Addresses

Primary practice location

40 Fox Chase
Cartersville, GA 30120-2491

Mailing address

40 Fox Chase
Cartersville, GA 30120-2491
Phone (352) 617-9649

Other identifiers 2

IdentifierTypeStateIssuer
000202705AJMedicaidGA
000202705AKMedicaidGA

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
I20060719000032 GA Practitioner - Cardiovascular Disease (Cardiology) 2860443157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

290 Heritage Walk
Suite B
Woodstock, GA 30188-6402
Phone (678) 513-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19142GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care, LLC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2013 Accepting new patients
North Atlanta Professional Services LLC Cardiovascular Disease CurrentSince Feb 1, 2011 Accepting new patients
Wellstar Medical Group, LLC Internal Medicine CurrentSince Dec 1, 2013 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Heart and Vascular Care, LLC CurrentSince Jan 1, 2024 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Cardiovascular Disease Past Accepting new patients
East Cobb Cardiology, LLC Past Accepting new patients
Endocrine Specialists of Georgia, LLC Cardiovascular Disease PastSince Nov 8, 2020 Accepting new patients

Locations

720 Transit Ave
Ste 102
Canton, GA 30114
Phone (770) 426-4721

40 Fox Chase
Cartersville, GA 30120
Phone (678) 400-2621

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274

355 Tower Rd NE
Ste 300
Marietta, GA 30060
Phone (770) 426-4721

55 Whitcher St NE
Ste 350
Marietta, GA 30060

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

120 Stonebridge Pkwy
Ste 440
Woodstock, GA 30189
Phone (770) 250-7199

290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185

Interoperability endpoints

  • Direct secure messaging: antonio.baute.1@1164.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1629061395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "352-617-9649",
            "fax_number": "770-382-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "770-382-0185",
            "fax_number": "770-382-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTE",
        "first_name": "ANTONIO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "19142",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "19142",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "19142",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "GA",
            "license": "19142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000202705AJ",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000202705AK",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.