HEART AND VASCULAR CARE OF GEORGIA – NPI #1558592089
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

HEART AND VASCULAR CARE OF GEORGIA is a provider located in LAGRANGE, GA. NPPES has assigned the NPI number 1558592089 to HEART AND VASCULAR CARE OF GEORGIA on July 31, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEART AND VASCULAR CARE OF GEORGIA” is a dba name, the actual legal business name for this organization is WEST GEORGIA MEDICAL CENTER INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 17 years ago on Oct 13, 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 HEART AND VASCULAR CARE OF GEORGIA below.

NPI Profile for
WEST GEORGIA MEDICAL CENTER INC

NPI Number
1558592089
Enumeration Date

(about 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
WEST GEORGIA MEDICAL CENTER INC
Doing Business As (dba): HEART AND VASCULAR CARE OF GEORGIA
Primary location
1551 DOCTORS DR
BLDG 200
LAGRANGE, GA 30240-4139
Phone: (706) 884-2641 Fax: (706) 884-2353
Mailing address
PO BOX 435
LAGRANGE, GA 30241-0008
Phone: (706) 884-2641 Fax: (706) 884-2353
Organization Subpart
Yes - HEART AND VASCULAR CARE OF GEORGIA is subpart of another organization.
Authorized Official
GERALD FULKS
PRES / CEO
Phone: (706) 882-1411
Updated
Identifiers

Identifiers for HEART AND VASCULAR CARE OF GEORGIA

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
OTHERMEDICARE PTANGA202I061458
MEDICAIDGA685223213B
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
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)
GA 057240
207RC0000X
- Internal Medicine / Cardiovascular Disease
GA 057240

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.