Kennestone Heart Physicians Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21937 Issued in GA

Legal business name

KENNESTONE HEART PHYSICIANS GROUP

Practice address

120 Stonebridge Pkwy
Suite 440
Woodstock, GA 30189-3767

Phone

(770) 426-4721

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Katie M 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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1962566042",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY",
            "address_2": "SUITE 440",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893767",
            "telephone_number": "770-426-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE HEART PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "678-797-4113"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "21937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025641K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Olivia Kelly, PHARMD
• Benjamin J Kelly, M.D.
• Darlene M Kelsesky, P.T.
• Jason Lee Kelsey, DPT
• Tarsha Chamaine Kennedy, NP-C
• Justin Thomas Kenney, D.C.
• Kevin Patrick Kenny, DC
• Daniel L Kerlan, DDS
• Amy L. Kern, M. ED. OTRL
• Charles K Khoury, DO

• Cardiovascular Disease Physician in Woodstock, GA
• Providers in Woodstock, 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 Apr 10, 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.