Individual provider Active NPI

Edward Claude Clermont, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1760749873
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
86141 Issued in GA
Practice address
766 Walther Rd Ste 100
Lawrenceville, GA 30046-8765
Phone
(770) 736-6300
Fax
(770) 580-1802
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 86141 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 86141 GA
Cardiovascular Disease Physician 207RC0000X 86141 GA Primary

Addresses

Primary practice location

766 Walther Rd Ste 100
Lawrenceville, GA 30046-8765

Mailing address

766 Walther Rd Ste 100
Lawrenceville, GA 30046-8765
Phone (770) 736-6300

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
I20200824002853 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 6204253149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

3435 Hwy 81
Suite 200
Loganville, GA 30052-9138
Phone (770) 736-6300

400 Tower Rd NE
Suite 110
Marietta, GA 30060-9417
Phone (770) 720-2383

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912

766 Walther Rd
Suite 100
Lawrenceville, GA 30046-8765
Phone (770) 736-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Aug 1, 2021 Accepting new patients
Eastside Medical Center, LLC Past Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients

Locations

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

766 Walther Rd
Ste 100
Lawrenceville, GA 30046
Phone (678) 985-8001

3435 Highway 81
Ste 200
Loganville, GA 30052

660 Cherokee St NE
Ste 250
Marietta, GA 30060
Phone (404) 425-5570

1800 Tree Ln
Ste 250
Snellville, GA 30078
Phone (678) 631-3710

Interoperability endpoints

  • Direct secure messaging: edward.clermont@hca1.eclinicaldirectplus.com

Organizations & group practices 3

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1760749873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468765",
            "telephone_number": "770-736-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468765",
            "telephone_number": "770-736-6300",
            "fax_number": "770-580-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERMONT",
        "first_name": "EDWARD",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86141",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "86141",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "86141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.