NORTHSIDE CARDIOLOGY-ELECTROPHYSIOLOGY, LLC (NPI# 1376843003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376843003 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE CARDIOLOGY-ELECTROPHYSIOLOGY, LLC |
| Practice Address |
5670 Peachtree Dunwoody Rd Ne Suite 880 Atlanta GA 30342-1699 |
| Practice Telephone | 4042562525 |
| Practice Fax Number | 4048454732 |
| Mailing Telephone | 4042562525 |
| Mailing Fax Number | 4048454732 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | MS. BEENA B ALEX (PRACTICE MANAGER) |
| Authorized Official Telephone | 4048454728 |
| Authorized Official Credential | MBA, MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHSIDE CARDIOLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
GA | Allopathic & Osteopathic Physicians |
| Street Address |
5670 PEACHTREE DUNWOODY RD NE SUITE 880 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784080 | Scott Jeffrey Small | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342 | 2005-07-19 |
| 1619214343 | Kalos Surgical Associates LLC | Otolaryngology | 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 | 2013-01-15 |
| 1497006555 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1215288378 | Nsh Cancer Institute Professional Services A LLC | Pharmacy | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1225277809 | Meghan Meyer Williams | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 920, Atlanta, GA 30342-1699 | 2009-02-05 |
| 1174761498 | Kelly Len Jackson | Registered Nurse | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2009-01-23 |
| 1982864443 | Karen D Cowan | Nurse Practitioner | 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 | 2008-06-09 |
| 1548444045 | Kelly Ann May | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2007-12-20 |
| 1144412883 | Megan Christina Sweet | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2007-08-16 |
| 1811187107 | Diana Derry | Audiologist | 5670 Peachtree Dunwoody Rd Ne, Suite 1280, Atlanta, GA 30342-1699 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 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 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.