CVG Physicians Group, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CVG PHYSICIANS GROUP, LLC

Practice address

755 Walther Rd
Lawrenceville, GA 30046-8725

Phone

(770) 962-0399

Fax

(770) 995-0533

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Manfred Sandler, MD

Title

Directing Manager

Phone

(770) 962-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cardiovascular Group Doing business as

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/gemms-cvg01

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1689197378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE PKWY STE 119B-319",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Teron Trce Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300191666",
            "country_code": "US",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Jesse Jewell Pkwy SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013772",
            "country_code": "US",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Peachtree Industrial Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242013",
            "country_code": "US",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4745 Nelson Brogdon Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183714",
            "country_code": "US",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Pleasant Hill Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300968093",
            "country_code": "US",
            "telephone_number": "770-497-1413",
            "fax_number": "770-497-1823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Tree Ln Bldg C",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782399",
            "country_code": "US",
            "telephone_number": "770-979-1200",
            "fax_number": "770-978-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4365 Johns Creek Pkwy Ste 450",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246089",
            "country_code": "US",
            "telephone_number": "770-495-2442",
            "fax_number": "770-495-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CVG PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_title_or_position": "DIRECTING MANAGER",
        "authorized_official_telephone_number": "770-962-0399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003196217A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiovascular Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.