Organization Active NPI

Cardiology Associates of Dublin, LLC

  • Cardiovascular Disease Physician
  • Dublin, GA
National Provider Identifier
1639567696
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
028227 Issued in GA
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

  • Direct secure messaging: alicia.vega@cad.gadirect.net
  • Direct secure messaging: collins.kwarteng@cad.gadirect.net
  • Direct secure messaging: hudson.owen@cad.gadirect.net
  • Direct secure messaging: 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.

Verify at the official NPI Registry.