Mervyn B Forman MD, L.L.C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

035873 Issued in GA

Legal business name

MERVYN B FORMAN MD, L.L.C

Doing business as

Cardiovascular Associates of Sandy Springs

Practice address

960 Johnson Ferry Rd NE
Ste 530
Atlanta, GA 30342-1631

Phone

(404) 446-1900

NPI assigned

Jun 2, 2008

Last updated

Dec 8, 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

Dr. Mervyn B Forman, MDNPI 1215027461

Title

Physician

Phone

(404) 446-1900

Specialties & licenses 1

Addresses

Other names 1

• Cardiovascular Associates of Sandy Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Mervyn B. Forman, M.D.

  • Cardiovascular Disease Physician
  • Sandy Springs, GA
  • NPI 1215027461
  Medicare reassignment Authorized official
• Errol Forman, D.M.D.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1689848194
  NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1912165382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE",
            "address_2": "STE 530",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421631",
            "telephone_number": "404-446-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE",
            "address_2": "STE 530",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421631",
            "telephone_number": "404-446-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVYN B FORMAN MD, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-446-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "035873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Associates of Sandy Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiovascular Associates of Sandy Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cayley Brooke Johnson Merritt, PA-C
• Kristi Ranice Merritt, O.D.
• Toni Merritt
• Maya Merriweather
• Jenna Elizabeth Mersfelder, MCD. CCC-SLP
• Mostafa Meselhe
• Ellyn M Meshel, M.D.
• Assefa Meshesha
• Shervin Meshkian, D.D.S
• John Meshramkar

• Cardiovascular Disease Physician in Atlanta, GA
• Providers in Atlanta, 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 Dec 8, 2023; 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.