NPIMap

Organization Active NPI

Central Georgia Heart Center, PC

Doing business as Central Georgia Heart Center

  • Cardiovascular Disease Physician
  • Macon, GA
National Provider Identifier
1780779363
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRAL GEORGIA HEART CENTER, PC
Doing business as
Central Georgia Heart Center
Practice address
1062 Forsyth St., Suite 1B
Macon, GA 31201
Phone
(478) 741-1208
Fax
(478) 741-1557
NPI assigned
Oct 3, 2006
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mr. Mark Edward Dorogy, MD
Title
President
Phone
(478) 955-5126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X GA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X GA
Interventional Cardiology Physician 207RI0011X GA

Addresses

Primary practice location

1062 Forsyth St., Suite 1B
Macon, GA 31201

Mailing address

1062 Forsyth St., Suite 1B
Macon, GA 31201
Phone (478) 741-1208

Other names 1

  • Central Georgia Heart Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000220 GA Part B Supplier - Clinic/Group Practice 0446248736 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
Practice locations: Warner Robins, GA; Thomaston, GA; Forsyth, GA; Monticello, GA; Montezuma, GA; Milledgeville, GA; Macon, GA; Dublin, GA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

134 Martin Luther King Jr Dr
Ste 2B
Forsyth, GA 31029

304 Margie Dr
Ste 1B
Warner Robins, GA 31088

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1780779363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST., SUITE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST., SUITE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA HEART CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "DOROGY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-955-5126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Georgia Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.