Active NPI
Cardiology Associates of Dublin, LLC
- Cardiovascular Disease Physician
- Dublin, GA
National Provider Identifier
1639567696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 028227
- Legal business name
- CARDIOLOGY ASSOCIATES OF DUBLIN, LLC
- Practice address
- 206 Hospital Dr Ste a
Dublin, GA 31021-2560 - Phone
- (478) 272-3525
- Fax
- (478) 272-3589
- NPI assigned
- Dec 29, 2014
- Last updated
- Dec 29, 2014
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony M Osteen
- Title
- Cfo VP Finance
- Phone
- (912) 538-5314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 028227 | GA | Primary |
Addresses
Primary practice location
206 Hospital Dr Ste a
Dublin, GA 31021-2560
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986
National Provider Directory
National Provider Directory- Part of
- Southeast Regional Primary Care Corporation
Interoperability endpoints
- alicia.vega@cad.gadirect.net
- collins.kwarteng@cad.gadirect.net
- hudson.owen@cad.gadirect.net
- manuel.vega@cad.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419811200000",
"number": "1639567696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304750407",
"telephone_number": "912-537-4986",
"fax_number": "912-538-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 HOSPITAL DR STE A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212560",
"telephone_number": "478-272-3525",
"fax_number": "478-272-3589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY ASSOCIATES OF DUBLIN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST REGIONAL PRIMARY CARE CORPORATION",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A",
"authorized_official_last_name": "OSTEEN",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO VP FINANCE",
"authorized_official_telephone_number": "912-538-5314"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "028227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.