NPIMap

Organization Active NPI

Southern Heart Group

Doing business as Diagnostic Cardiology Assoc

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1962484220
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTHERN HEART GROUP
Doing business as
Diagnostic Cardiology Assoc
Practice address
1824 King St
Suite 300
Jacksonville, FL 32204-4735
Phone
(904) 388-1820
Fax
(904) 388-1827
NPI assigned
Nov 14, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. George S Pilcher, MDNPI 1306849583
Title
Managing Partner
Phone
(904) 388-1820

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 NU Primary

Addresses

Primary practice location

1824 King St
Suite 300
Jacksonville, FL 32204-4735

Mailing address

562 Park St
Suite 310
Jacksonville, FL 32204-2918
Phone (904) 633-2021

Other identifiers 3

IdentifierTypeStateIssuer
CI0090OtherFLRAILROAD MEDICARE
GRP3918OtherGAGEORGIA MEDICARE
CH8079OtherFLRAILROAD MEDICARE

Other names 1

  • DIAGNOSTIC CARDIOLOGY ASSOC Doing business as

National Provider Directory

National Provider Directory

Locations

1340 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 261-9786

2255 Dunn Ave
Ste 204
Jacksonville, FL 32218
Phone (904) 296-0278

2021 Kingsley Ave
Ste 104
Orange Park, FL 32073
Phone (904) 276-5100

2507 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1962484220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 PARK ST",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042918",
            "telephone_number": "904-633-2021",
            "fax_number": "904-633-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 KING ST",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044735",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "PILCHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-388-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0090",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICARE",
            "identifier": "GRP3918",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH8079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC CARDIOLOGY ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.