GEORGIA HEART SPECIALISTS, LLC (NPI# 1467449926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467449926 |
| Entity Type | Organization |
| Organization Name | GEORGIA HEART SPECIALISTS, LLC |
| Practice Address |
4140 Tate St Ne Covington GA 30014-2562 |
| Practice Telephone | 7707860077 |
| Practice Fax Number | 7707868750 |
| Mailing Telephone | 7707860077 |
| Mailing Fax Number | 7707868750 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | MRS. BRIDGET HUMMEL (OFFICE MANAGER) |
| Authorized Official Telephone | 7707860077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00408614F | 05 |
| Street Address |
4140 TATE ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205882057 | James S Abraham | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-25 |
| 1265483663 | Mark C Hanson | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-12 |
| 1134170517 | Enrique A Flores | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-12 |
| 1821048042 | Michael P Cecil | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1427411719 | Annette Marie Comer | Specialist | 203 Green Violet Dr, Covington, VA 24426-6327 | 2016-04-04 |
| 1447654686 | David E Williams | Specialist | 767 Highway 142, Covington, GA 30014-4860 | 2014-10-17 |
| 1720328313 | Paradigm Health System | Specialist | 90 Louis Prima Dr, Suite B, Covington, LA 70433-5903 | 2013-02-19 |
| 1639415243 | Elaine Y Lewis | Specialist | 205 Queensland Ln, Covington, GA 30016-3100 | 2012-12-31 |
| 1710286794 | Pontchartrain Cancer Center | Specialist | 120 Lakeview Cir, Covington, LA 70433-7512 | 2011-03-16 |
| 1598088247 | Oxana P Lissina | Specialist | 16127 Se 256th Pl, Covington, WA 98042-4135 | 2010-03-09 |
| 1477880714 | Srinivas S Ganji M.d. A Prof Medical Corp | Specialist | 209 Highway Park Plaza, Covington, LA 70433 | 2009-11-06 |
| 1447494109 | Monica Lanee Anderson | Specialist | 280 Capeton Ct, Covington, GA 30016 | 2009-04-25 |
| 1750521274 | Anita Holtzapple | Specialist | 180 Red Cloud Ct, Covington, KY 41017-9423 | 2009-02-23 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on GEORGIA HEART SPECIALISTS, LLC.
| 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.