NPIMap

Organization Active NPI

The Atlanta Cardiology Group, PC

Doing business as ACG Ellijay

  • Cardiovascular Disease Physician
  • Ellijay, GA
National Provider Identifier
1679621189
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE ATLANTA CARDIOLOGY GROUP, PC
Doing business as
ACG Ellijay
Practice address
79 Southside Church St
Ellijay, GA 30540-5400
Phone
(706) 636-6500
Fax
(706) 636-6501
NPI assigned
Jan 8, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
John Bowen
Title
Cfo
Phone
(678) 242-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

79 Southside Church St
Ellijay, GA 30540-5400

Mailing address

79 Southside Church St
Ellijay, GA 30540-5400
Phone (706) 636-6500

Other names 1

  • ACG Ellijay Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acg Blairsville12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1679621189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405400",
            "telephone_number": "706-636-6500",
            "fax_number": "706-636-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405400",
            "telephone_number": "706-636-6500",
            "fax_number": "706-636-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATLANTA CARDIOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-242-1999"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Ellijay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.