KENNESTONE HEART PHYSICIANS GROUP
NPI 1003011776
Internal Medicine - Cardiovascular Disease in Blue Ridge, GA

NPI Status: Active since June 20, 2007

Contact Information

101 RIVERSTONE VIS
SUITE 217
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 632-8008
Fax: (706) 632-8070

Get Directions Reviews

  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About KENNESTONE HEART PHYSICIANS GROUP

Kennestone Heart Physicians Group is an internist established in Blue Ridge, Georgia operating as a Internal Medicine with a focus in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1003011776 assigned on June 2007. The practitioner's primary taxonomy code is 207RC0000X with license number 00058204 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Katie M Doyle (Manager, Physician Services)

NPI
1003011776
Provider Name
KENNESTONE HEART PHYSICIANS GROUP
Entity Type
Organization
Location Address
101 RIVERSTONE VIS SUITE 217 BLUE RIDGE, GA 30513
Location Phone
(706) 632-8008
Location Fax
(706) 632-8070
Mailing Address
355 TOWER RD NE SUITE 300 MARIETTA, GA 30060
Mailing Phone
(770) 426-4721
Mailing Fax
(706) 632-8070
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-20-2007
Last Update Date
05-21-2009
Code Navigator

An internist like Kennestone Heart Physicians Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
00058204
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver 5: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver 6: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver 7: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATIE M DOYLE

Authorized Official Title
MANAGER, PHYSICIAN SERVICES
Authorized Official Phone
(678) 797-1113

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP938MEDICARE PIN (08)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 7 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003011776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174522262DR. FRANK STANSON TRIGG M.D.
Individual
Internal Medicine101 RIVERSTONE VIS SUITE 203
BLUE RIDGE, GA 30513
(706) 632-8787
1588663686DR. RAYMOND EUGENE TIDMAN MD
Individual
Family Medicine101 RIVERSTONE VIS SUITE 205
BLUE RIDGE, GA 30513
(706) 632-4400
1316947260 LEE ANN TIDMAN CNP
Individual
Nurse Practitioner101 RIVERSTONE VIS SUITE 205
BLUE RIDGE, GA 30513
(706) 632-4400
1881655728 MARILYN A WILLIAMS NP
Individual
Nurse Practitioner101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 632-4400
1861445447 JACQUELINE A. MALLOY ARNP
Individual
Nurse Practitioner (Family)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 258-4400
1982636767DR. EDWARD LEE BOYE LPC
Individual
Counselor (Pastoral)101 RIVERSTONE VIS SUITE 201A
BLUE RIDGE, GA 30513
(423) 496-9878
1952496739CARDIAC DISEASE SPECIALISTS, PC
Organization
Internal Medicine (Cardiovascular Disease)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 632-8008
1093882805RIVERSTONE IMAGING CENTER
Organization
Clinic/Center (Radiology)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 258-4120
1104954106IMMEDIATE MEDCARE OF RIVERSTONE,LLC
Organization
Clinic/Center (Urgent Care)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 258-4400
1891810933GEORGIA OXYGEN PHARMACY
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)101 RIVERSTONE VIS STE 103
BLUE RIDGE, GA 30513
(706) 258-4545
1518130723SLEEP SERVICES OF AMERICA
Organization
Clinical Medical Laboratory101 RIVERSTONE VIS SUITE 205
BLUE RIDGE, GA 30513
(404) 892-0308
1124280011MS. LAURA ELIZABETH PARKER LPC
Individual
Counselor (Professional)101 RIVERSTONE VIS SUITE 201 A
BLUE RIDGE, GA 30513
(770) 235-1059
1245483718 ASHLEY MEGAN JONES
Individual
Physical Therapist101 RIVERSTONE VIS STE. 113
BLUE RIDGE, GA 30513
(706) 964-4261
1538393442 JUDITH MARIE BOIVIN R.N.,LCSW, ACSW
Individual
Social Worker (Clinical)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 851-6019
1689954372BLUE RIDGE DERMATOLOGY
Organization
Dermatology101 RIVERSTONE VIS STE 215
BLUE RIDGE, GA 30513
(706) 946-4227
1386929222MARC S BERGER MD PC
Organization
Family Medicine101 RIVERSTONE VIS STE 217
BLUE RIDGE, GA 30513
(706) 946-4240
1629329792NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Organization
Durable Medical Equipment & Medical Supplies101 RIVERSTONE VIS SUITE 102
BLUE RIDGE, GA 30513
(706) 258-4140
1932227220 CHARLES NOLAN DOOLEY SR. R.PH.
Individual
Pharmacist101 RIVERSTONE VIS SUITE 100
BLUE RIDGE, GA 30513
(706) 258-2294
1053305888DR. ELIAS GEORGES ISSA MD
Individual
Internal Medicine101 RIVERSTONE VIS SUITE 207
BLUE RIDGE, GA 30513
(706) 964-4210
1124036520MS. TRACY L. ALLEN P.A.
Individual
Physician Assistant (Medical)101 RIVERSTONE VIS SUITE 111
BLUE RIDGE, GA 30513
(706) 946-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011776, enumerated in the NPI registry as an "organization" on June 20, 2007

The provider is located at 101 Riverstone Vis Suite 217 Blue Ridge, Ga 30513 and the phone number is (706) 632-8008

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.