Individual provider Active NPI

Adam Buntaine, MD

  • Interventional Cardiology Physician
  • Cumming, GA
National Provider Identifier
1699066001
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
80200 Issued in GA
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

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001873 GA Practitioner - Cardiovascular Disease (Cardiology) 9133498355 Reassigns benefits to 1 organization

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
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
90.12
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80200GAMDCardiovascular Disease Physician
172809NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Aug 1, 2018 Accepting new patients
Heart and Vascular Care CurrentSince Aug 1, 2018 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

  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.