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CARDIOVASCULAR CARE CENTER & CRC
NPI 1154280501
Internal Medicine - Cardiovascular Disease in Conyers, GA

Active since January 21, 2026CLIA 11D2338564 · Waiver
1372 WELLBROOK CIR NE, CONYERS, GA 30012(470) 500-2273(470) 289-5440 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cardiovascular Care Center & Crc NPPES

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

CARDIOVASCULAR CARE CENTER & CRC (NPI 1154280501) is a healthcare organization registered as a cardiovascular disease in Conyers, Georgia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists T David Gbadebo, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1154280501
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOVASCULAR CARE CENTER & CRC
Location Address1372 WELLBROOK CIR NEConyers, GA 30012-3872
Mailing Address1372 Wellbrook Cir NeConyers, GA 30012-3872 · (470) 500-2273 · Fax (470) 289-5440
Phone(470) 500-2273
Fax(470) 289-5440
Organization SubpartNo
Authorized OfficialT David GbadeboOwner/physician · (470) 500-2273
Enumeration DateJanuary 21, 2026
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1154280501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
1372 WELLBROOK CIR NE, Conyers, GA 30012
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiovascular Care Center & Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cardiovascular Care Center & Crc, which bills Medicare for the services this clinician delivers.

Clinician (1)

T Gbadebo, MD
Cardiac Electrophysiology
NPI 1194799510
1372 WELLBROOK CIR NE
Conyers, GA 30012
(470) 500-2273
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2338564

Cardiovascular Care Center & Crc LLC · Conyers, GA
Active · expires Feb 11, 2028
CLIA Number11D2338564
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorTokunbo D. Gbadebo
Laboratory Phone(470) 500-2273
Laboratory LocationCardiovascular Care Center & Crc LLC1372 Wellbrook Circle NE, Conyers, GA 30012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cardiovascular Care Center & Crc's NPI number?

The NPI number for Cardiovascular Care Center & Crc is 1154280501. It was assigned to this organization in the NPPES registry on January 21, 2026.

Where is Cardiovascular Care Center & Crc located?

Cardiovascular Care Center & Crc is located at 1372 Wellbrook Cir NE, Conyers, GA 30012. The listed phone number is (470) 500-2273.

What is Cardiovascular Care Center & Crc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cardiovascular Care Center & Crc enrolled in Medicare?

Yes. Cardiovascular Care Center & Crc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiovascular Care Center & Crc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiac Electrophysiology) reassigns their Medicare billing to Cardiovascular Care Center & Crc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cardiovascular Care Center & Crc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2338564) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cardiovascular Care Center & Crc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.