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PEDIATRIC CARDIOLOGY SERVICES LLC
NPI 1003077876
Pediatrics - Pediatric Cardiology in Gainesville, GA

Active since June 24, 2008
200 S ENOTA DR NE, SUITE 380, GAINESVILLE, GA 30501(770) 995-6684(770) 995-7631 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Cardiology Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC CARDIOLOGY SERVICES LLC (NPI 1003077876) is a healthcare organization registered as a pediatric cardiology in Gainesville, Georgia and active in the NPI registry since June 2008. The organization lists Kim Woody, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1003077876
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC CARDIOLOGY SERVICES LLC
Location Address200 S ENOTA DR NE, SUITE 380Gainesville, GA 30501-3473
Mailing Address500 Medical Center Blvd, Suite 340Lawrenceville, GA 30045-8708 · (770) 995-6684 · Fax (770) 995-7631
Phone(770) 995-6684
Fax(770) 995-7631
Organization SubpartNo
Authorized OfficialKim WoodyPractice Administrator · (770) 995-6684
Enumeration DateJune 24, 2008
✔ NPI 1003077876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 043298
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
200 S ENOTA DR NE, Gainesville, GA 30501
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Other Identifiers 2

Medicaid00740891AGA
Medicaid000326873GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY MILLER LATHEM M.D.
Pediatrics
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Hall County (770) 534-5255
GEORGE A ORDWAY PA
Physician Assistant (Medical)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-2020
APRIL MANGUM NP
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-2020
KENNETH E. GOOLSBY, MD & ASSOCIATES, PC
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE, SUITE 300
GAINESVILLE, GA 30501
Hall County (770) 534-8832
MISS HEATHER TIFFANY HEATH NP
Nurse Practitioner
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-2020
MR. KEITH EUGENE CAUSEY PA
Physician Assistant
200 S ENOTA DR NE, STE 300
GAINESVILLE, GA 30501
Hall County (770) 219-7099
DR. KENNETH E. GOOLSBY M.D.
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 534-8832
JAMES G REEVES MD
Surgery (Vascular Surgery)
200 S ENOTA DR NE, SUITE 360
GAINESVILLE, GA 30501
Hall County (770) 219-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Cardiology Services LLC's NPI number?

The NPI number for Pediatric Cardiology Services LLC is 1003077876. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Pediatric Cardiology Services LLC located?

Pediatric Cardiology Services LLC is located at 200 S Enota Dr NE Suite 380, Gainesville, GA 30501. The listed phone number is (770) 995-6684.

What is Pediatric Cardiology Services LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

What insurance does Pediatric Cardiology Services LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Cardiology Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Cardiology Services LLC was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.