EAST ATLANTA CARDIOLOGY LLC (NPI# 1851611651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851611651 |
| Entity Type | Organization |
| Organization Name | EAST ATLANTA CARDIOLOGY LLC |
| Other Organization Name | EAST ATLANTA CARDIOLOGY PC |
| Practice Address |
5255 Snapfinger Park Dr Suite 130 Decatur GA 30035-4084 |
| Practice Telephone | 7703228881 |
| Practice Fax Number | 7703228886 |
| Mailing Telephone | 7703228881 |
| Mailing Fax Number | 7703228886 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | DR. MUTHAYYAH SRINIVASAN (MD, CEO) |
| Authorized Official Telephone | 7703228881 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
52836 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Atlanta Cardiology PC | Former Legal Business Name - Organization |
| Street Address |
5255 SNAPFINGER PARK DR SUITE 130 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296514 | Andrew Alexander Dixon | Internal Medicine | 5255 Snapfinger Park Dr, Ste 110, Decatur, GA 30035-4066 | 2005-06-27 |
| 1548774987 | Hannah Afify | Physical Therapist | 5255 Snapfinger Park Dr, Decatur, GA 30035-4084 | 2017-11-21 |
| 1891242046 | Michael Smith | Physical Therapist | 5255 Snapfinger Park Dr, Decatur, GA 30035-4084 | 2016-09-06 |
| 1518346881 | Kevin James Juston | Physical Therapy Assistant | 5255 Snapfinger Park Dr, Suite 130, Decatur, GA 30035-4084 | 2015-05-20 |
| 1609266360 | Michael Saunders | Physical Therapist | 5255 Snapfinger Park Dr, Suite 5255-130, Decatur, GA 30035-4084 | 2015-02-02 |
| 1619372810 | Erin Knight | Occupational Therapist | 5255 Snapfinger Park Dr, Suite 130, Decatur, GA 30035-4084 | 2014-10-30 |
| 1972800985 | Georgia Height Private Care | Home Health | 5255 Snapfinger Park Dr, Suite 145, Decatur, GA 30035-4084 | 2011-02-28 |
| 1588808067 | Aliya Saeed | Internal Medicine | 5255 Snapfinger Park Dr, Suite 110, Decatur, GA 30035-4084 | 2009-04-28 |
| 1215052261 | Northwest Nephrology Clinic | Specialist | 5255 Snapfinger Park Dr, Suite 110, Decatur, GA 30035-4084 | 2007-03-20 |
| 1972678605 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 5255 Snapfinger Park Dr, Suite 5255-130, Decatur, GA 30035-4084 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.