Organization Active NPI

Alpharetta Cardiology, LLC

  • Cardiovascular Disease Physician
  • Alpharetta, GA
National Provider Identifier
1801284518
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
48028 Issued in GA
Legal business name
ALPHARETTA CARDIOLOGY, LLC
Practice address
5755 N Point Pkwy Ste 270
Alpharetta, GA 30022-1175
Phone
(678) 762-0910
Fax
(678) 762-0920
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Dr. Marlene L. Blaise, M.D.NPI 1477587822
Title
Owner
Phone
(678) 762-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 48028 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy Ste 270
Alpharetta, GA 30022-1175

Mailing address

5755 N Point Pkwy Ste 270
Alpharetta, GA 30022-1175
Phone (678) 762-0910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108001055 GA Part B Supplier - Clinic/Group Practice 5395068845 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1019881Alpharetta Cardiology LLC5755 North Point Parkway, Suite 270, Alpharetta, GA 30022Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Locations

5755 N Point Pkwy
Ste 270
Alpharetta, GA 30022
Phone (678) 762-0910

3400 Old Milton Pkwy
Ste C325
Alpharetta, GA 30005
Phone (678) 762-0910

3400 Old Milton Pkwy
Ste 325
Alpharetta, GA 30005
Phone (678) 762-0910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJBDA

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": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1801284518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221175",
            "telephone_number": "678-762-0910",
            "fax_number": "678-762-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221175",
            "telephone_number": "678-762-0910",
            "fax_number": "678-762-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BLAISE",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-762-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "48028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.