Atlanta Metro Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

58625 Issued in GA

Legal business name

ATLANTA METRO CARDIOLOGY

Practice address

2645 Lawrenceville Hwy
Decatur, GA 30033-2502

Phone

(770) 491-7030

Fax

(770) 491-7144

NPI assigned

Aug 13, 2010

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abhay Trivedi, M.D.NPI 1700974805

Title

Physician

Phone

(678) 767-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Abhay Trivedi, MD

  • Cardiovascular Disease Physician
  • Decatur, GA
  • NPI 1700974805
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1851606834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300311459",
            "telephone_number": "678-767-2020",
            "fax_number": "770-491-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332502",
            "telephone_number": "770-491-7030",
            "fax_number": "770-491-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA METRO CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "ABHAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-767-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "58625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.