Garry Mcculloch (NPI# 1699065805, PAC ID# 4082912050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.
| Nation Provider ID (NPI) | 1699065805 |
| PAC ID by PECOS | 4082912050 |
| Professional Enrollment ID | I20170914002158 |
| Full Name | Garry Mcculloch |
| Organization Legal Name | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| Address |
1267 Hwy 54 W Suite 2100 Fayetteville GA 30214 |
| Phone Number | 7704611407 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0345321691 |
| Number of Group Practice Members | 246 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 | 7704611407 | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| Organization Legal Name | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| Physicians | 270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Larry Campbell | Advanced Heart Failure and Transplant Cardiology | Piedmont Cardiology of Atlanta, LLC | 191 Deep S Farm Rd, Blairsville, GA 30512-2220 |
| Erin Lynn Sheffield | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 95 Collier Nwrd, Suite 5015, Atlanta, GA 30309-1721 |
| Roy Elie Abrahamian | Interventional Cardiology | Piedmont Cardiology of Atlanta, LLC | 309 Highland Pkwy, Suite 200, Ellijay, GA 30540-6782 |
| Ashley Mcguire-tanksley | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1301 Sigman Rd Ne, Conyers, GA 30012-3819 |
| Federico Milla | Thoracic Surgery | Piedmont Cardiology of Atlanta, LLC | 101 Lake Oconee Pkwy Ne, Eatonton, GA 31024-6054 |
| Kimberly W Naab | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1700 |
| Sanjay Lall | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 2145 Slater Mill Rd, Douglasville, GA 30135-1205 |
| Kathy J Aliffi | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 20 Francis Way, Suite 101, Sharpsburg, GA 30277-3589 |
| Cheryl H Mitcham | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Ramona Davis | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Street Address |
1267 HWY 54 W SUITE 2100 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vipin Ramprasad Lohiya | Hematology/oncology | Piedmont Cancer Institute PC | 1267 Hwy 54 W, Suite 4200, Fayetteville, GA 30214-2112 |
| Mark F Deutsch | Plastic and Reconstructive Surgery | 1267 Hwy 54 W, Suite 5300, Atlanta, GA 30214-2113 | |
| Matthew M Ralsten Iii | Obstetrics/gynecology | Peachtree Fayette Women's Specialists | 1267 Hwy 54 W, Suite 3200, Fayetteville, GA 30214-4526 |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Muhammad A Khan | Internal Medicine | Nephrology Consultants of Georgia, P.C. | 1267 Hwy 54 W, Suite 5400, Fayetteville, GA 30214-2113 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Ismailu O. Agbaje | Physical Medicine and Rehabilitation | 1267 Hwy 54 W, Suite 5200, Fayetteville, GA 30214-2113 | |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Trevor Mayer Feinstein | Hematology/oncology | Piedmont Cancer Institute PC | 1267 Hwy 54 W, Suite 4200, Fayetteville, GA 30214-2112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Robert V Dimeglio | Urology | 1336 Hwy 54 W, Building 200, Fayetteville, GA 30214 | |
| Daniel Michael Feckoury | Family Medicine | Piedmont Medical Care Corporation | 1975 Hwy 54 W, Suite 150, Fayetteville, GA 30214 |
| Dana M. Sellers | Nurse Practitioner | Piedmont Medical Care Corporation | 1975 Hwy 54 W, Suite 150, Fayetteville, GA 30214 |
| Mitkumar Patel | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| City + Specialty | FAYETTEVILLE + ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.