NPIMap

Organization Active NPI

Cardiac Disease Specialists, PC

  • Cardiovascular Disease Physician
  • Fayetteville, GA
National Provider Identifier
1689769507
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC DISEASE SPECIALISTS, PC
Practice address
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214-4548
Phone
(770) 716-0051
Fax
(770) 716-0087
NPI assigned
Oct 4, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Harvey Sacks, MD
Title
President
Phone
(404) 355-9815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214-4548

Mailing address

275 Collier Rd NW
Ste 300
Atlanta, GA 30309-1704
Phone (404) 355-9815

Other names 1

  • Cardiac Disease Specialists, PC-Fayetteville Other name

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Disease Specialists PC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

275 Collier Rd NW
#5856
Atlanta, GA 30309

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1689769507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091704",
            "telephone_number": "404-355-9815",
            "fax_number": "404-350-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W",
            "address_2": "STE 2200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144548",
            "telephone_number": "770-716-0051",
            "fax_number": "770-716-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC DISEASE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-355-9815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Disease Specialists, PC-Fayetteville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.