Organization Active NPI

Atlanta Cardiac & Vascular Specialties, LLC

  • Cardiovascular Disease Physician
  • Decatur, GA
National Provider Identifier
1861746430
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATLANTA CARDIAC & VASCULAR SPECIALTIES, LLC
Practice address
2675 N Decatur Rd
Suite 307
Decatur, GA 30033-6131
Phone
(404) 508-7300
Fax
(404) 508-7019
NPI assigned
Nov 5, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Mirza Ahmed, M.D.NPI 1376653634
Title
Owner
Phone
(404) 508-7300

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

2675 N Decatur Rd
Suite 307
Decatur, GA 30033-6131

Mailing address

PO Box 4048
Macon, GA 31208-4048
Phone (404) 508-7300

National Provider Directory

National Provider Directory

Locations

2675 N Decatur Rd
Ste 307
Decatur, GA 30033
Phone (404) 292-0393

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1861746430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084048",
            "telephone_number": "404-508-7300",
            "fax_number": "404-508-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 307",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-508-7300",
            "fax_number": "404-508-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CARDIAC & VASCULAR SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-508-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.