CARDIAC DISEASE SPECIALISTS, PC (NPI# 1952496713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952496713 |
| Entity Type | Organization |
| Organization Name | CARDIAC DISEASE SPECIALISTS, PC |
| Other Organization Name | CARDIAC DISEASE SPECIALISTS, PC-ELLIJAY |
| Practice Address |
97 Hefner St Ste 202 East Ellijay GA 30540-8268 |
| Mailing Address |
275 Collier Rd Nw Ste 300 Atlanta GA 30309-1704 |
| Practice Telephone | 7062764113 |
| Practice Fax Number | 7062764113 |
| Mailing Telephone | 4043559815 |
| Mailing Fax Number | 4043500529 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | HARVEY N SACKS (PRESIDENT) |
| Authorized Official Telephone | 4043559815 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiac Disease Specialists, PC-Ellijay | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
| 1306980578 | Cardiac Disease Specialists, PC | Internal Medicine | 1230 Johnson Ferry Pl, Ste A10, Marietta, GA 30068-2048 | 2007-02-19 |
| 1245316496 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 200, Atlanta, GA 30342-2606 | 2006-10-31 |
| 1013092956 | Cardiac Disease Specialists, PC | Internal Medicine | 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309-1267 | 2006-10-26 |
| 1295817278 | Cardiac Disease Specialists, PC | Internal Medicine | 3020 Paces Mill Rd Se, Atlanta, GA 30339-3744 | 2006-10-19 |
| 1861574840 | Cardiac Disease Specialists, PC | Internal Medicine | 58 Hospital Rd, Ste 106, Newnan, GA 30263-1230 | 2006-10-19 |
| 1285729111 | Cardiac Disease Specialists, PC | Internal Medicine | 898 College St, Monticello, GA 31064-1261 | 2006-10-04 |
| 1588759336 | Cardiac Disease Specialists, PC | Internal Medicine | 220 J L White Dr, Ste 100, Jasper, GA 30143-4893 | 2006-10-04 |
| 1790870624 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Lake Oconee Pkwy, Speciality Center, Eatonton, GA 31024-6054 | 2006-10-04 |
| 1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
| Street Address |
97 HEFNER ST STE 202 |
| City | EAST ELLIJAY |
| State | GA |
| Zip Code | 30540-8268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325678 | Justin Shurley | Physical Therapist | 97 Hefner St, Ste 100, East Ellijay, GA 30540-8260 | 2005-06-13 |
| 1053735761 | Digestive Healthcare of Ga, P.C. | Specialist | 97 Hefner St, Suite 203, East Ellijay, GA 30540-8268 | 2014-02-17 |
| 1407140098 | Tan D. Nguyen | Physician Assistant | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2011-06-01 |
| 1699085886 | North Georgia Physical Therapy | Durable Medical Equipment & Medical Supplies | 97 Hefner St, Suite 100, East Ellijay, GA 30540 | 2010-10-21 |
| 1396069282 | Dale Lingle | Pharmacist | 97 Hefner St, Ste 200, East Ellijay, GA 30540-8268 | 2010-03-21 |
| 1588815674 | Islam G Eltarawy | Family Medicine | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2008-10-07 |
| 1841483823 | Asim Kidwai | Family Medicine | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2007-08-22 |
| 1790873651 | Crista Thoresen | Physical Therapist | 97 Hefner St, Suite 100, East Ellijay, GA 30540-8268 | 2006-10-10 |
| 1023050804 | Concord Inc | Pharmacy | 97 Hefner St, Ste 200, East Ellijay, GA 30540-8268 | 2006-06-13 |
| 1407802978 | Cardiovascular Imaging of North Georgia LLC | Internal Medicine | 97 Hefner St, Suite 102, East Ellijay, GA 30540-8260 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
| 1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
| 1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
| 1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
| 1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
| 1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
| 1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
| 1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
| Find all providers in zip 30540 | ||||
| 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 |
|---|---|---|---|---|
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1407802978 | Cardiovascular Imaging of North Georgia LLC | Internal Medicine | 97 Hefner St, Suite 102, East Ellijay, GA 30540-8260 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 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 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST ELLIJAY |
| Zip Code | 30540 |
Please comment or provide details below to improve the information on CARDIAC DISEASE SPECIALISTS, PC.
| 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.