Individual provider Active NPI

Eric Raul Guerra, MD

  • Interventional Cardiology Physician
  • Dalton, GA
National Provider Identifier
1801863105
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
70754 Issued in GA
Practice address
1504 N Thornton Ave Ste 106
Dalton, GA 30720-8394
Phone
(706) 602-3215
Fax
(423) 476-4487
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 70754 GA Primary
Interventional Cardiology Physician 207RI0011X MD29590 TN

Addresses

Primary practice location

1504 N Thornton Ave Ste 106
Dalton, GA 30720-8394

Mailing address

PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.guerra.1@1525.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100830000681 TN Practitioner - Cardiovascular Disease (Cardiology) 2668596578 Reassigns benefits to 2 organizations
I20131107000647 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2668596578 Reassigns benefits to 3 organizations
I20250102003309 AR Practitioner - Interventional Cardiology 2668596578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

1035 Red Bud Rd NE
Calhoun, GA 30701-6010

1504 N Thornton Ave
Suite 160
Dalton, GA 30720-8394
Phone (706) 602-3215

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 879-5760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting91
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70754GAMDInterventional Cardiology Physician
MD29590TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. CurrentSince Oct 13, 2013 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Jan 6, 2025 Accepting new patients
Bradley Physician Services, LLC CurrentSince Aug 1, 2024 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Oct 21, 2024 Accepting new patients
Cardiology Specialists of Memphis Cardiovascular Disease Current Accepting new patients
Hamilton Physician Group Inc Cardiovascular Disease CurrentSince Oct 13, 2013 Accepting new patients
Dalton Cardiology, P.C. Cardiovascular Disease Past Accepting new patients

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1504 N Thornton Ave
Ste 106
Dalton, GA 30720
Phone (706) 226-1530

1436 Broadrick Dr
#B
Dalton, GA 30720
Phone (706) 226-3434

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280

6059 Arbury Way
#101
Ooltewah, TN 37363
Phone (423) 238-8880

Interoperability endpoints

  • Direct secure messaging: eguerra4412197@adventhealth.direct-ci.com
  • Direct secure messaging: eric.guerra.1@31613.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1801863105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "address_2": "C/O CLINIC MANAGEMENT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30703",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N THORNTON AVE STE 106",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208394",
            "telephone_number": "706-602-3215",
            "fax_number": "423-476-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "ERIC",
        "middle_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "70754",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD29590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.guerra.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2253 Chambliss Ave NW Ste 301",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373113961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.