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

NPI Status: Active since January 21, 2026

Contact Information

1372 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (470) 500-2273
Fax: (470) 289-5440

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 11D2338564
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-11-2028

About CARDIOVASCULAR CARE CENTER & CRC

This page provides the complete NPI Profile along with additional information for Cardiovascular Care Center & Crc, an internist established in Conyers, Georgia operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1154280501 assigned on January 2026. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is T David Gbadebo Md (Owner/physician)

NPI
1154280501
Provider Name
CARDIOVASCULAR CARE CENTER & CRC
Entity Type
Organization
Location Address
1372 WELLBROOK CIR NE CONYERS, GA 30012
Location Phone
(470) 500-2273
Location Fax
(470) 289-5440
Mailing Address
1372 WELLBROOK CIR NE CONYERS, GA 30012
Mailing Phone
(470) 500-2273
Mailing Fax
(470) 289-5440
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2026
Last Update Date
02-17-2026
Code Navigator

An internist like Cardiovascular Care Center & Crc 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.

Location Map

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
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.

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

T DAVID GBADEBO MD

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(470) 500-2273

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2338564
Facility Type
Physician Office
Certificate Effective Date
February 12, 2026
Certificate Expiration Date
February 11, 2028
Laboratory Director
TOKUNBO D. GBADEBO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cardiovascular Care Center & Crc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154280501, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 2 → 4 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 4 + 8 + 0 + 5 + 0 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154280501.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Physician Assistant
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Surgery (Vascular Surgery)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Nurse Practitioner (Adult Health)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Psychiatry & Neurology (Neurology)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Internal Medicine (Cardiovascular Disease)
1372 WELLBROOK CIR NE
CONYERS, GA 30012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154280501, enumerated as an "organization" on January 21, 2026.

The provider is located at 1372 WELLBROOK CIR NE CONYERS, GA 30012 and the phone number is (470) 500-2273.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.