Organization Active NPI

Atlanta Heart Associates PC

  • Cardiovascular Disease Physician
  • McDonough, GA
National Provider Identifier
1851327241
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATLANTA HEART ASSOCIATES PC
Practice address
3333 Jodeco Road
Suite a
McDonough, GA 30253
Phone
(770) 692-4000
Fax
(770) 474-8510
NPI assigned
Jun 25, 2006
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Gopal Rao, M.D.NPI 1083655203
Title
Managing Member
Phone
(770) 692-4000

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X
Nuclear Cardiology Physician 207UN0901X

Addresses

Primary practice location

3333 Jodeco Road
Suite a
McDonough, GA 30253

Mailing address

3333 Jodeco Road
Suite a
McDonough, GA 30253
Phone (770) 692-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040114000144 GA Part B Supplier - Clinic/Group Practice 6204737216 Receives reassigned benefits from 22 practitioners
Practice locations: Riverdale, GA; Stockbridge, GA; McDonough, GA; Griffin, GA; East Point, GA; Locust Grove, GA
O20240825000136 GA Part B Supplier - Intensive Cardiac Rehabilitation 6204737216 Receives reassigned benefits from 15 practitioners
Practice locations: McDonough, 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
11D0869508Atlanta Heart Associates, PC3333 Jodeco Road, Ste a, McDonough, GA 30253Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

3885 Princeton Lakes Way SW
Ste 410
Atlanta, GA 30331
Phone (678) 593-1280

3886 Princeton Lakes Way SW
#60
Atlanta, GA 30331

3886 Princeton Lakes Way SW
Ste 260
Atlanta, GA 30331

1136 Cleveland Ave
Ste 205
East Point, GA 30344
Phone (404) 766-6165

1136 Cleveland Ave
Ste 208
East Point, GA 30344
Phone (404) 761-9339

680 S 9th St
Griffin, GA 30224
Phone (478) 719-8895

680 S 9th St
#B
Griffin, GA 30224
Phone (770) 892-0273

747 S 8th St
Ste A
Griffin, GA 30224
Phone (770) 233-3309

1502 W 3rd St
Ste D
Jackson, GA 30233

3758 Highway 42 S
Ste 202
Locust Grove, GA 30248
Phone (678) 432-3903

3333 Jodeco Rd
Ste A
McDonough, GA 30253
Phone (770) 692-4000

1100 Hospital Dr
Stockbridge, GA 30281
Phone (678) 432-6161

350 Country Club Dr
Ste B
Stockbridge, GA 30281
Phone (800) 604-2273

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1851327241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 JODECO ROAD",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 JODECO ROAD",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HEART ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-692-4000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.