Kennestone Heart Physicians Group, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

09-00003012 Issued in GA

Legal business name

KENNESTONE HEART PHYSICIANS GROUP, PC

Practice address

5671 Peachtree Dunwoody Rd NE
Suite 320
Atlanta, GA 30342-5000

Phone

(770) 426-4721

Fax

(770) 424-0391

NPI assigned

Apr 9, 2009

Last updated

May 21, 2009By 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

Katie Doyle

Title

Manager, Physician Services

Phone

(678) 797-4113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1932342763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609408",
            "telephone_number": "770-426-4721",
            "fax_number": "770-424-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "770-426-4721",
            "fax_number": "770-424-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE HEART PHYSICIANS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "MANAGER, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "678-797-4113"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "09-00003012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025641K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wistar Cooke Kennedy
• Jocelyn Anne Kennel
• Cameron Thomas Kennelly, DO
• Jamaan Kenner, M.D
• Melanie Cheron Kenner, LPC
• Kennestone Hospital, Inc (Wellstar Kennestone Hospital Inpatient Psych Unit)
• Kennestone Periodontics at Windy Hill, PC
• Kenneth W. Berger, D.D.S., L.L.C. (Kenneth W. Berger, DDS)
• Amy Kenney, LPC
• Chester Kenney Jr.

• 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 May 21, 2009; 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.