NPIMap

Organization Active NPI

Cardiology Care Clinic, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Eatonton, GA
National Provider Identifier
1902452774
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
CARDIOLOGY CARE CLINIC, LLC
Practice address
119 Harmony Xing Ste 3
Eatonton, GA 31024-9571
Phone
(706) 485-4004
Fax
(706) 262-2986
NPI assigned
Aug 16, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Nicolas A.F. Chronos, MDNPI 1427057165
Title
Owner
Phone
(706) 485-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

119 Harmony Xing Ste 3
Eatonton, GA 31024-9571

Mailing address

119 Harmony Xing Ste 3
Eatonton, GA 31024-9571
Phone (706) 485-4004

Other practice location 1

117 Harmony Crossing
Suite 1
Eatonton, GA 31024-9548
Phone (706) 485-4004 ext. 407

Other identifiers 1

IdentifierTypeStateIssuer
000840364QMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Eatonton Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1902452774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HARMONY XING STE 3",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249571",
            "telephone_number": "706-485-4004",
            "fax_number": "706-484-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HARMONY XING STE 3",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249571",
            "telephone_number": "706-485-4004",
            "fax_number": "706-262-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Harmony Crossing",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249548",
            "country_code": "US",
            "telephone_number": "706-485-4004 x407",
            "fax_number": "706-484-2453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOLOGY CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "CHRONOS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "A.F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-485-4004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000840364Q",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eatonton",
            "affiliation": "N",
            "endpointDescription": "transmission and paper",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 Harmony Crossing",
            "address_2": "Suite 1",
            "city": "Eatonton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.