CARDIAC DISEASE SPECIALISTS, PC (NPI# 1285729111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285729111 |
| Entity Type | Organization |
| Organization Name | CARDIAC DISEASE SPECIALISTS, PC |
| Other Organization Name | CARDIAC DISEASE SPECIALISTS, PC-MONTICELLO |
| Practice Address |
898 College St Monticello GA 31064-1261 |
| Mailing Address |
275 Collier Rd Nw Ste 300 Atlanta GA 30309-1704 |
| Practice Telephone | 7064686411 |
| Mailing Telephone | 4043559815 |
| Mailing Fax Number | 4043500529 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | HARVEY N SACKS (PRESIDENT) |
| Authorized Official Telephone | 4043559815 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiac Disease Specialists, PC-Monticello | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
| 1306980578 | Cardiac Disease Specialists, PC | Internal Medicine | 1230 Johnson Ferry Pl, Ste A10, Marietta, GA 30068-2048 | 2007-02-19 |
| 1245316496 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 200, Atlanta, GA 30342-2606 | 2006-10-31 |
| 1013092956 | Cardiac Disease Specialists, PC | Internal Medicine | 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309-1267 | 2006-10-26 |
| 1295817278 | Cardiac Disease Specialists, PC | Internal Medicine | 3020 Paces Mill Rd Se, Atlanta, GA 30339-3744 | 2006-10-19 |
| 1861574840 | Cardiac Disease Specialists, PC | Internal Medicine | 58 Hospital Rd, Ste 106, Newnan, GA 30263-1230 | 2006-10-19 |
| 1588759336 | Cardiac Disease Specialists, PC | Internal Medicine | 220 J L White Dr, Ste 100, Jasper, GA 30143-4893 | 2006-10-04 |
| 1790870624 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Lake Oconee Pkwy, Speciality Center, Eatonton, GA 31024-6054 | 2006-10-04 |
| 1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
| 1538254487 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 | 2006-10-04 |
| Street Address |
898 COLLEGE ST |
| City | MONTICELLO |
| State | GA |
| Zip Code | 31064-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031750 | Jasper Health Services, Inc. | Internal Medicine | 898 College St, Monticello, GA 31064-1261 | 2005-05-30 |
| 1942563770 | Nataliya Kubasova | Family Medicine | 898 College St, Monticello, GA 31064-1258 | 2012-06-18 |
| 1972883452 | Robert A Cumbie | Pharmacist | 898 College St, Monticello, GA 31064-1258 | 2011-08-28 |
| 1356659825 | Elizabeth Copelan Wood | Physician Assistant | 898 College St, Monticello, GA 31064-1258 | 2010-09-18 |
| 1568636306 | Ashley Suzam Nordstrom | Physician Assistant | 898 College St, Suite A, Monticello, GA 31064-1258 | 2008-04-14 |
| 1972715795 | Jasper Health Services, Inc. | Medicare Defined Swing Bed Unit | 898 College St, Monticello, GA 31064-1261 | 2007-05-04 |
| 1326089475 | Kirk Tahama Brown | Emergency Medicine | 898 College St, Monticello, GA 31064-1261 | 2006-06-09 |
| 1316984552 | Gurbax Soni | Emergency Medicine | 898 College St, Monticello, GA 31064-1261 | 2006-05-31 |
| 1518956481 | Jasper Health Services Inc. | Skilled Nursing Facility | 898 College St, Monticello, GA 31064-1261 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935757 | Neighborcare Pharmacy | Pharmacy | 3 Short St., Monticello, GA 31064 | 2019-01-10 |
| 1932563178 | Mary Catherine Sikes | Specialist/Technologist | 126 Hwy 212 West, Monticello, GA 31064 | 2016-04-13 |
| 1801018288 | Griswold Chiropractic | Chiropractor | 111 W. Washington St, Monticello, GA 31064 | 2007-05-03 |
| 1881733392 | Garrett Medical Supplies | Durable Medical Equipment & Medical Supplies | 126 Greene Street, Montilcello, GA 31064 | 2007-02-05 |
| 1629189212 | Stephen R Griswold | Chiropractor | 111 West Washington St, Monticello, GA 31064 | 2006-08-31 |
| 1144293457 | Jamie Alan Mitchell | Dentist | 458 W Washington St, Monticello, GA 31064 | 2006-02-08 |
| 1295738722 | Shannon T Barton | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2005-05-30 |
| 1093011314 | W Kenny Blake Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1811293137 | Shannon T. Barton Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1609859818 | Jasper County Emergency Medical Service | Ambulance | 185 Highway 212 W, Monticello, GA 31064-0000 | 2005-11-22 |
| Find all providers in zip 31064 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982921391 | Trace Nathaniel Garner | Internal Medicine | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2010-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 31064 |
Please comment or provide details below to improve the information on CARDIAC DISEASE SPECIALISTS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.