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

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 NPI number of this provider is 1003011776 and was 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 14 years ago. Kennestone Heart Physicians Group 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 NameKENNESTONE HEART PHYSICIANS GROUP
Location Address101 RIVERSTONE VIS SUITE 217 BLUE RIDGE, GA 30513
Location Phone(706) 632-8008
Mailing Address355 TOWER RD NE SUITE 300 MARIETTA, GA 30060
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-20-2007
Last Update Date05-21-2009

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..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.00058204
License StateGA
Taxonomy DescriptionAn 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

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Mailing Address

355 TOWER RD NE
SUITE 300
MARIETTA, GA
ZIP 30060
Phone: (770) 426-4721
Fax: (770) 424-0391


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name KATIE M DOYLE
Authorized Official TitleMANAGER, PHYSICIAN SERVICES
Authorized Official Phone(678) 797-1113

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

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
1487610945DR. PHILIP R MILLS MD
Individual
Dermatology101 RIVERSTONE VIS SUITE 205
BLUE RIDGE, GA 30513
(706) 632-4100
1861445447 JACQUELINE A. MALLOY ARNP
Individual
Nurse Practitioner (Family)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 258-4400
1578593349 ROBERTA YVONNE TOWLE SW
Individual
Social Worker (Clinical)101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
(706) 632-4400
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
1982698908 JONATHAN A BLOCH MD
Individual
Surgery101 RIVERSTONE VIS SUITE 212
BLUE RIDGE, GA 30513
(706) 946-4253

Frequently Asked Questions

What is KENNESTONE HEART PHYSICIANS GROUP NPI number?

The NPI number assigned to this healthcare provider is 1003011776, registered as an "organization" on June 20, 2007

Where is KENNESTONE HEART PHYSICIANS GROUP located?

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

What kind of medical provider is KENNESTONE HEART PHYSICIANS GROUP?

This medical organization specializes in Internal Medicine with a focus in Cardiovascular Disease

What insurance does KENNESTONE HEART PHYSICIANS GROUP accept?

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

How do I update my NPI information?

The NPI record of KENNESTONE HEART PHYSICIANS GROUP 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]
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