NPIMap

Organization Active NPI

West Georgia Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Carrollton, GA
National Provider Identifier
1932421187
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
044076 Issued in GA
Legal business name
WEST GEORGIA CARDIOLOGY ASSOCIATES, PC
Practice address
129 Bankhead Hwy
Carrollton, GA 30117-3425
Phone
(770) 838-8440
NPI assigned
Feb 15, 2010
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Charlie C Rouse, M.D.NPI 1710914247
Title
Physician
Phone
(770) 838-8443

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 044076 GA Primary

Addresses

Primary practice location

129 Bankhead Hwy
Carrollton, GA 30117-3425

Mailing address

129 Bankhead Hwy
Carrollton, GA 30117-3425
Phone (770) 838-8440

Other practice location 1

100 Professional Pl # 100
Suite 303
Carrollton, GA 30117-3874
Phone (770) 838-8440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000572 GA Part B Supplier - Clinic/Group Practice 4385773373 Receives reassigned benefits from 10 practitioners
Practice locations: Carrollton, 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
11D0982227West Georgia Cardiology129 Bankhead Highway, Carrollton, GA 30117Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

514 W Bankhead Hwy
Ste 200
Villa Rica, GA 30180
Phone (770) 456-3750

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1932421187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173425",
            "telephone_number": "770-838-8440",
            "fax_number": "770-838-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173425",
            "telephone_number": "770-838-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Pl # 100",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173874",
            "country_code": "US",
            "telephone_number": "770-838-8440",
            "fax_number": "770-838-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST GEORGIA CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-838-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "044076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.