Athens Cardiac Clinic PC
Organization Active NPI Cardiovascular Disease Physician · Watkinsville, GA
NPI 1679945596 · NPPES record last updated Oct 30, 2015
Key facts
- NPI
- 1679945596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 056494 (GA)
- Legal business name
- ATHENS CARDIAC CLINIC PC
- Practice address
- 1360 Caduceus Way
Building 600 Suite 105
Watkinsville, GA 30677-7300 - Phone
- (470) 240-2224
- NPI assigned
- Oct 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Rohit Tongia
- Title
- MD
- Phone
- (770) 868-6254
Practitioners 1
-
Rohit Tongia, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151109000360 | GA | Part B Supplier - Clinic/Group Practice | 1951611698 |
Receives reassigned benefits from 1 practitioner Practice locations: Watkinsville, GA |
National Provider Directory
Locations
1720 Epps Bridge Pkwy
Ste 108136
Athens, GA 30606
1720 Epps Bridge Pkwy
Ste 108
Athens, GA 30606
1360 Caduceus Way
Bldg 600-105
Watkinsville, GA 30677
1360 Caduceus Way
Bldg 660105
Watkinsville, GA 30677
1360 Caduceus Way
#600
Watkinsville, GA 30677
Phone (470) 240-2224
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFEDAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 056494 | GA | Yes |
| Interventional Cardiology Physician |
207RI0011X | 056494 | GA |
Addresses
Primary practice location
1360 Caduceus Way
Building 600 Suite 105
Watkinsville, GA 30677-7300
Mailing address
1720 Epps Bridge Pkwy
Suite 108 #136
Athens, GA 30606-6132
Other providers in Watkinsville, GA
- Athena Compounding, LLC
- Athens Area Bilingual Therapy LLC
- Athens Area Family Medicine Associates PC
- Athens Area Pediatric Dentistry, P.C.
- Athens Area Urology, PC
- Athens Dental Group LLC
- Athens Dermatology Group PC
- Athens Digestive Endoscopy Center
- Athens Digestive Healthcare Associates
- Athens Eye Associates
All providers in Watkinsville, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.