South Atlanta Heart and Vascular Clinic LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTH ATLANTA HEART AND VASCULAR CLINIC LLC

Practice address

23 Old Atlanta Hwy
Ste 110
Newnan, GA 30263-6341

Phone

(678) 850-6490

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Brijesh Patel

Title

Manager

Phone

(678) 850-6490

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1659613891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OLD ATLANTA HWY STE 110",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636341",
            "telephone_number": "678-850-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OLD ATLANTA HWY",
            "address_2": "STE 110",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636341",
            "telephone_number": "678-850-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA HEART AND VASCULAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BRIJESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-850-6490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.