NPIMap

Organization Active NPI

Atlanta Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Tucker, GA
National Provider Identifier
1891881827
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATLANTA HEART SPECIALISTS LLC
Practice address
1468 Montreal Rd
Tucker, GA 30084-6901
Phone
(770) 638-1400
Fax
(770) 638-1411
NPI assigned
Oct 5, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
David Song, MDNPI 1174619100
Title
Owner
Phone
(770) 638-1400

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

1468 Montreal Rd
Tucker, GA 30084-6901

Mailing address

1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000416 GA Part B Supplier - Clinic/Group Practice 9537134341 Receives reassigned benefits from 24 practitioners
Practice locations: Tucker, GA; Suwanee, GA; Lithonia, GA; Lilburn, GA; Lawrenceville, GA; Decatur, GA; Cumming, GA; Atlanta, 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
11D1015089Atlanta Heart Specialists Laboratory1468 Montreal Road, East, Tucker, GA 30084Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

5665 New Peachtree Rd
Atlanta, GA 30341

2665 N Decatur Rd
Ste 320
Decatur, GA 30033
Phone (404) 292-1144

5910 Hillandale Dr
Ste 350
Lithonia, GA 30058
Phone (678) 578-8900

4375 Johns Creek Pkwy
Suwanee, GA 30024

4375 Johns Creek Pkwy
Ste 350
Suwanee, GA 30024
Phone (770) 622-1622

1460 Montreal Rd
Ste 250
Tucker, GA 30084
Phone (470) 880-2414

1460 Montreal Rd
Ste 275
Tucker, GA 30084

Interoperability endpoints

  • Direct secure messaging: anthony.dorsey@ahsmed.gadirect.net
  • Direct secure messaging: bhaktiar.ali@ahsmed.gadirect.net
  • Direct secure messaging: binu.kunjummen@ahsmed.gadirect.net
  • Direct secure messaging: david.song@ahsmed.gadirect.net
  • Direct secure messaging: david.suh@ahsmed.gadirect.net
  • Direct secure messaging: don.rowe@ahsmed.gadirect.net
  • Direct secure messaging: ghazanfar.qureshi@ahsmed.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA
  • Direct secure messaging: linda.yan@ahsmed.gadirect.net
  • Direct secure messaging: osman.ahmed@ahsmed.gadirect.net
  • Direct secure messaging: paul.kirschbaum@atlheart.gadirect.net
  • Direct secure messaging: richard.coralli@atlheart.gadirect.net
  • Direct secure messaging: sandeep.chandra@ahsmed.gadirect.net
  • Direct secure messaging: sheila.woodhouse@ahsmed.gadirect.net
  • Direct secure messaging: sybil.dotson@atlheart.gadirect.net
  • Direct secure messaging: taslima.bhuiyan@ahsmed.gadirect.net
  • Direct secure messaging: tenecia.allen@ahsmed.gadirect.net
  • Direct secure messaging: zoubin.alikhani@ahsmed.gadirect.net

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1891881827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846901",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846901",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HEART SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-638-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.