Organization Active NPI

Cardiac Consultants of Central Georgia

  • Cardiovascular Disease Physician
  • Warner Robins, GA
National Provider Identifier
1962779611
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC CONSULTANTS OF CENTRAL GEORGIA
Practice address
2024 Watson Blvd BLDG 1
Warner Robins, GA 31093-3624
Phone
(478) 225-9882
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Gohar Saeed, M.D.NPI 1609820299
Title
Partner
Phone
(478) 737-9555

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2024 Watson Blvd BLDG 1
Warner Robins, GA 31093-3624

Mailing address

2024 Watson Blvd BLDG 1
Warner Robins, GA 31093-3624
Phone (478) 225-9882

Other practice location 1

1654 Watson Blvd
Warner Robins, GA 31093-3439
Phone (478) 225-9882

Other practice location 2

1654 Watson Blvd
Warner Robins, GA 31093-3439
Phone (478) 225-9882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000240 GA Part B Supplier - Clinic/Group Practice 0941477616 Receives reassigned benefits from 6 practitioners
Practice locations: Macon, GA; Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

427 Poplar St
Macon, GA 31201
Phone (478) 225-9882

1654 Watson Blvd
Warner Robins, GA 31093
Phone (478) 225-9882

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962779611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 WATSON BLVD BLDG 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933624",
            "telephone_number": "478-225-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WATSON BLVD BLDG 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933624",
            "telephone_number": "478-225-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1654 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933439",
            "country_code": "US",
            "telephone_number": "478-225-9882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1654 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933439",
            "country_code": "US",
            "telephone_number": "478-225-9882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIAC CONSULTANTS OF CENTRAL GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "478-737-9555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.