KENNESTONE HEART PHYSICIANS GROUP, PC – NPI #1184864258
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.

KENNESTONE HEART PHYSICIANS GROUP, PC is a provider located in CANTON, GA. NPPES has assigned the NPI number 1184864258 to KENNESTONE HEART PHYSICIANS GROUP, PC on March 02, 2009. 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 previously updated about 17 years ago on May 21, 2009. 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 KENNESTONE HEART PHYSICIANS GROUP, PC below.

NPI Profile for
KENNESTONE HEART PHYSICIANS GROUP, PC

NPI Number
1184864258
Enumeration Date

(more than 17 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
KENNESTONE HEART PHYSICIANS GROUP, PC
Primary location
720 TRANSIT AVE
BUILDING 100, SUITE 102
CANTON, GA 30114-2540
Phone: (770) 426-4721 Fax: (770) 424-0391
Mailing address
355 TOWER RD NE
SUITE 300
MARIETTA, GA 30060-9408
Phone: (770) 426-4721 Fax: (770) 424-0391
Organization Subpart
No
Authorized Official
KATIE DOYLE
MANAGER, PHYSICIAN SERVICES
Phone: (678) 797-4113
Updated
Identifiers

Identifiers for KENNESTONE HEART PHYSICIANS GROUP, 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
MEDICAIDGA300025641K
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 2009PROFS-0051

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.