ATLANTA VANGUARD MEDICAL ASSOCIATES PC – NPI #1164773164
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.

ATLANTA VANGUARD MEDICAL ASSOCIATES PC is a provider located in SMYRNA, GA. NPPES has assigned the NPI number 1164773164 to ATLANTA VANGUARD MEDICAL ASSOCIATES PC on October 01, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 previously updated about 13 years ago on Jan 25, 2013. 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 ATLANTA VANGUARD MEDICAL ASSOCIATES PC below.

NPI Profile for
ATLANTA VANGUARD MEDICAL ASSOCIATES PC

NPI Number
1164773164
Enumeration Date

(more than 13 years 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
ATLANTA VANGUARD MEDICAL ASSOCIATES PC
Primary location
3692 HIGHLANDS PKWY SE
SMYRNA, GA 30082-5184
Phone: (678) 305-1700 Fax: (678) 766-1744
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL MORRIS
OWNER
Phone: (678) 305-1700
Updated
Identifiers

Identifiers for ATLANTA VANGUARD MEDICAL ASSOCIATES PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003129899A
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)
GA
207R00000X
- Internal Medicine
GA

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.