CARDIOVASCULAR CARE CENTER & CRC – NPI #1154280501
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

CARDIOVASCULAR CARE CENTER & CRC is a provider located in CONYERS, GA. NPPES has assigned the NPI number 1154280501 to CARDIOVASCULAR CARE CENTER & CRC on January 21, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Feb 17, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOVASCULAR CARE CENTER & CRC below.

NPI Profile for
CARDIOVASCULAR CARE CENTER & CRC

NPI Number
1154280501
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDIOVASCULAR CARE CENTER & CRC
Primary location
1372 WELLBROOK CIR NE
CONYERS, GA 30012-3872
Phone: (470) 500-2273 Fax: (470) 289-5440
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
T GBADEBO
OWNER/PHYSICIAN
Phone: (470) 500-2273
Updated
Certification Date
Feb 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
1372 WELLBROOK CIR NE,
CONYERS, GA 77025-1669