Organization Active NPI

Athens Cardiac Clinic PC

  • Cardiovascular Disease Physician
  • Watkinsville, GA
National Provider Identifier
1679945596
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
056494 Issued in 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
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Rohit TongiaNPI 1942385166
Title
MD
Phone
(770) 868-6254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 056494 GA Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109000360 GA Part B Supplier - Clinic/Group Practice 1951611698 Receives reassigned benefits from 1 practitioner
Practice locations: Watkinsville, GA

National Provider Directory

National Provider Directory

Locations

1360 Caduceus Way
#600
Watkinsville, GA 30677
Phone (470) 240-2224

1360 Caduceus Way
Bldg 200
Watkinsville, GA 30677
Phone (706) 310-7115

1360 Caduceus Way
Bldg 600-105
Watkinsville, GA 30677

1360 Caduceus Way
Bldg 660105
Watkinsville, GA 30677

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDAD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1679945596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 108 #136",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BUILDING 600 SUITE 105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "470-240-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS CARDIAC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "TONGIA",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-868-6254"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "056494",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "056494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.