Active NPI
Adam Buntaine, MD
- Interventional Cardiology Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 80200
- Practice address
- 3970 Deputy Bill Cantrell Memorial Rd
Suite 100
Cumming, GA 30040 - Phone
- (678) 513-2273
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 80200 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 2017-00074 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 80200 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 172809 | NC |
Addresses
Primary practice location
3970 Deputy Bill Cantrell Memorial Rd
Suite 100
Cumming, GA 30040
Mailing address
795 Golf Vista CT
Milton, GA 30004-3030
Phone (585) 747-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11315 Johns Creek Pkwy
Suite 320
Duluth, GA 30097-2644
Phone (678) 513-2273
2855 Old Hwy 5
Suite 103
Blue Ridge, GA 30513-6239
Phone (678) 513-2273
290 Heritage Walk
Suite B
Woodstock, GA 30188-6402
Phone (678) 513-2273
320 Hospital Rd
Canton, GA 30114-2410
Phone (678) 513-2273
433 Highland Pkwy
Suite 201
Ellijay, GA 30540-7658
Phone (678) 513-2273
970 Joe Frank Harris Pkwy SE
Suite 380a
Cartersville, GA 30120-2159
Phone (678) 513-2273
Hospital & facility affiliations
- Northside Hospital Cherokee
- Wellstar Kennestone Regional Medical Center
- Piedmont Mountainside Hospital Inc
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 90.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80200 | GA | MD | Cardiovascular Disease Physician |
| 172809 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Vascular Care East, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Heart and Vascular Care East, LLC | Current | Accepting new patients | |
| Heart and Vascular Care, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Heart and Vascular Care | Current | Accepting new patients | |
| Nmda Anesthesia LLC | Past | Accepting new patients |
Locations
4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518
1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115
320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535
450 Northside Cherokee Blvd
Ste 300
Canton, GA 30115
970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146
3970 Dep Bill Cantrell Memorial Rd
Ste 100
Cumming, GA 30040
3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292
101 Greenfield Dr
Ste 260
Cumming, GA 30040
73 Prestige Ln
Ste 205
Dawsonville, GA 30534
433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514
53 Gordon Rd
Ste 102
Jasper, GA 30143
Interoperability endpoints
- https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
- adam.buntaine.1@1164.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Cumming, GA
- NPI 1144371576
-
- Cardiac Rehabilitation Registered Nurse
- Cumming, GA
- NPI 1740960434
-
- Cardiovascular Disease Physician
- Cumming, GA
- NPI 1205651510
-
- Cardiac Rehabilitation Registered Nurse
- Cumming, GA
- NPI 1891502381
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1306123336
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Piedmont Mountainside Hospital
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1699066001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 GOLF VISTA CT",
"city": "MILTON",
"state": "GA",
"postal_code": "300043030",
"telephone_number": "585-747-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD",
"address_2": "SUITE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "678-513-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNTAINE",
"first_name": "ADAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "80200",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2017-00074",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "80200",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "172809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.