Cardiac Disease Consultants, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

037415 Issued in GA

Legal business name

CARDIAC DISEASE CONSULTANTS, LLC

Practice address

1 Sweet Bay CT Ste B
Moultrie, GA 31768-6713

Phone

(229) 890-5305

Fax

(229) 890-5307

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Morgan

Title

Physician Billing Coordinator

Phone

(229) 890-3447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710027800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SWEET BAY CT STE B",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686713",
            "telephone_number": "229-890-5305",
            "fax_number": "229-890-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SWEET BAY CT STE B",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686713",
            "telephone_number": "229-890-5305",
            "fax_number": "229-890-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC DISEASE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN BILLING COORDINATOR",
        "authorized_official_telephone_number": "229-890-3447"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "037415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.