Organization Active NPI

North Georgia Cardiology PC

  • Cardiovascular Disease Physician
  • Commerce, GA
National Provider Identifier
1790773232
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
031081 Issued in GA
Legal business name
NORTH GEORGIA CARDIOLOGY PC
Practice address
170 Cardiology PL
Commerce, GA 30529-1083
Phone
(706) 335-2000
Fax
(706) 335-9593
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Narasimhulu Neelagaru, MD
Title
President
Phone
(706) 335-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 031081 GA Primary

Addresses

Primary practice location

170 Cardiology PL
Commerce, GA 30529-1083

Mailing address

PO Box 359
Commerce, GA 30529-0007
Phone (706) 335-2000

Other identifiers 1

IdentifierTypeStateIssuer
CL9489OtherGAPALMETTO GBA - RAILROAD MEDICARE

Other names 1

  • Commerce Cardiology Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

170 Cardiology Pl
Commerce, GA 30529
Phone (706) 335-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1790773232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305290007",
            "telephone_number": "706-335-2000",
            "fax_number": "706-335-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CARDIOLOGY PL",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291083",
            "telephone_number": "706-335-2000",
            "fax_number": "706-335-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "NEELAGARU",
        "authorized_official_first_name": "NARASIMHULU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-335-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "031081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "CL9489",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commerce Cardiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.