Individual provider Active NPI

Brian M Cardis, MD

  • Pediatric Cardiology Physician
  • Macon, GA
National Provider Identifier
1700810850
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
051629 Issued in GA
Practice address
1062 Forsyth St
Suite 3a
Macon, GA 31201-8637
Phone
(404) 256-2593
NPI assigned
Jul 11, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 051629 GA Primary

Addresses

Primary practice location

1062 Forsyth St
Suite 3a
Macon, GA 31201-8637

Mailing address

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5521
Phone (404) 256-2593

Other identifiers 1

IdentifierTypeStateIssuer
194808021AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

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
I20050503000244 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 3577502194 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Children's Healthcare of Atlanta Cardiology IncGroup PAC ID 6901888395, 31 clinicians

Practice addresses (Care Compare)

1062 Forsyth St
Suite 3a
Macon, GA 31201-8640
Phone (404) 256-2593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051629GAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady General Hospital CurrentSince Aug 1, 2023 Accepting new patients
John D Archbold Memorial Hospital Inc CurrentSince Aug 1, 2023 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 16, 2024 Accepting new patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Oct 4, 2019 Accepting new patients
Brooks County Hospital CurrentSince Aug 1, 2023 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 16, 2024 Accepting new patients
Hospital Authority of Mitchell County CurrentSince Aug 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2709 Meredyth Dr
Ste 250
Albany, GA 31707

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

2970 Brandywine Rd
Ste 125
Atlanta, GA 30341
Phone (713) 790-9401

60 Executive Park South NE
Atlanta, GA 30329

60 Executive Park South NE
Ste 100
Atlanta, GA 30329
Phone (404) 321-9444

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1062 Forsyth St
Ste 3A
Macon, GA 31201
Phone (478) 743-4622

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1700810850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415521",
            "telephone_number": "404-256-2593",
            "fax_number": "770-488-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 3A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "404-256-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIS",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "051629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194808021A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1062 Forsyth St",
            "address_2": "Suite 3A",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312018637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.