Individual provider Active NPI

Carlos Calle-Muller

  • Clinical Cardiac Electrophysiology Physician
  • Cumming, GA
National Provider Identifier
1891081576
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
77571 Issued in GA
Practice address
3970 Deputy Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone
(678) 513-2273
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301098215 MI
Internal Medicine Physician 207R00000X 77571 GA
Cardiovascular Disease Physician 207RC0000X 77571 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 77571 GA Primary

Addresses

Primary practice location

3970 Deputy Bill Cantrell Memorial Rd
Cumming, GA 30040

Mailing address

1702 Crestline Dr NE
Atlanta, GA 30345-3849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190814000610 GA Practitioner - Cardiac Electrophysiology 4082846852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care East LLCGroup PAC ID 2163951997, 20 clinicians
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone (678) 513-2273

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.23 of 100Reported as individual
Quality
93.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair25
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098215MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care East, LLC Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Heart and Vascular Care, LLC Cardiovascular Disease CurrentSince Jul 15, 2019 Accepting new patients
Heart and Vascular Care CurrentSince Jul 15, 2019 Accepting new patients
Heart and Vascular Care East, LLC Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

101 Greenfield Dr
Ste 260
Cumming, GA 30040

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292

73 Prestige Ln
Ste 205
Dawsonville, GA 30534

433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514

53 Gordon Rd
Ste 102
Jasper, GA 30143

290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185

Interoperability endpoints

  • Direct secure messaging: carlos.calle-muller.1@1164.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1891081576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 CRESTLINE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-513-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLE-MULLER",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098215",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "77571",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "77571",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "77571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.