WELLSTAR CARDIOVASCULAR MEDICINE, LLC – NPI #1427333293
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.

WELLSTAR CARDIOVASCULAR MEDICINE, LLC is a provider located in CANTON, GA. NPPES has assigned the NPI number 1427333293 to WELLSTAR CARDIOVASCULAR MEDICINE, LLC on October 12, 2011. 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 14 years ago on May 09, 2012. 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 WELLSTAR CARDIOVASCULAR MEDICINE, LLC below.

NPI Profile for
WELLSTAR CARDIOVASCULAR MEDICINE, LLC

NPI Number
1427333293
Enumeration Date

(more than 14 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
WELLSTAR CARDIOVASCULAR MEDICINE, LLC
Primary location
720 TRANSIT AVE
SUITE 102
CANTON, GA 30114-2540
Phone: (770) 704-1955 Fax: (770) 720-2388
Mailing address
55 WHITCHER ST NE
SUITE 350
MARIETTA, GA 30060-1155
Phone: (770) 424-6893 Fax: (770) 528-9938
Organization Subpart
Yes - WELLSTAR CARDIOVASCULAR MEDICINE, LLC is subpart of another organization.
Authorized Official
BARRY MANGEL
CJIEF CARDIOLOGY OFFICER
Phone: (770) 424-6893
Updated
Identifiers

Identifiers for WELLSTAR CARDIOVASCULAR MEDICINE, LLC

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
MEDICAIDGA386693863A
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.

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.