CARDIOLOGY CARE CLINIC, LLC (NPI# 1902452774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902452774 |
Entity Type | Organization |
Organization Name | CARDIOLOGY CARE CLINIC, LLC |
Practice Address |
119 Harmony Xing Ste 3 Eatonton GA 31024-9571 |
Practice Telephone | 7064854004 |
Practice Fax Number | 7062622986 |
Mailing Telephone | 7064854004 |
Mailing Fax Number | 7064842453 |
Enumeration Date | 2019-08-16 |
Last Update Date | 2020-07-27 |
Authorized Official Name | NICOLAS A.F. CHRONOS (OWNER) |
Authorized Official Telephone | 7064854004 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000840364Q | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
117 Harmony Crossing, Suite 1, Eatonton, GA 310249548 | 7064854004 | 7064842453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962764639 | Cardiology Care Clinic, LLC | Social Worker | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2012-06-08 |
Street Address |
119 HARMONY XING STE 3 |
City | EATONTON |
State | GA |
Zip Code | 31024-9571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427057165 | Nicolas A.f. Chronos | Internal Medicine | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2005-07-15 |
1447800503 | Taylor Ellen Hall | Nurse Practitioner | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2019-09-19 |
1598160384 | Maureen Bowser | Nurse Practitioner | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2014-10-23 |
1104233766 | Linda Calvo Kimbell | Social Worker | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2014-07-16 |
1962764639 | Cardiology Care Clinic, LLC | Social Worker | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2012-06-08 |
1932408440 | Cristina Evans Brehob | Physician Assistant | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2011-03-23 |
1114154077 | Cary Austin Sanders Hefty | Internal Medicine | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2009-06-18 |
1891744298 | Peter D Chapman | Internal Medicine | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2006-05-10 |
1992754519 | Eric K Silver | Obstetrics & Gynecology | 119 Harmony Xing Ste 3, Eatonton, GA 31024-9571 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578972329 | Touch A Life Health Care (llc) | Public Health or Welfare | 105 Troy Edwards Rd., Eatonton, GA 31024 | 2014-08-06 |
1275714438 | O Akhras Md PC | Clinic/Center | 120 Sparta Hwy, Eatonton, GA 31024 | 2007-11-16 |
1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
1164501367 | Brian E Prell | Physical Therapist | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2006-11-06 |
1548352982 | Herman V Barnes | Internal Medicine | 105 Ashland Pl, Eatonton, GA 31024 | 2006-09-29 |
1801180591 | Hannah Meigan Johnson Miller | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2011-05-31 |
1649415217 | Lake Oconee Rehabilitation and Performance Center, LLC | Clinic/Center | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2008-12-10 |
1427139310 | Thomas L Brown | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2006-10-18 |
1306857032 | Putnam County Board of Health | Public Health or Welfare | 103 N Washington St, Eatonton, GA 31024 | 2006-08-10 |
Find all providers in zip 31024 |
Taxonomy Code | 261QR0404X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Cardiac Facilities |
Definition to come... |
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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.