HEART OF GEORGIA CARDIOLOGY LLC - NPI 1194879866

Q: What is Heart Of Georgia Cardiology LLC's NPI number?

The NPI number for Heart Of Georgia Cardiology LLC is 1194879866. It was assigned to this organization in the NPPES registry on January 22, 2007.

Q: What is Heart Of Georgia Cardiology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Heart Of Georgia Cardiology Llc NPPES

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

HEART OF GEORGIA CARDIOLOGY LLC (NPI 1194879866) is a healthcare organization registered as a specialist in Macon, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Maria H Bartlett, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1194879866

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameHEART OF GEORGIA CARDIOLOGY LLC

Location Address2064 VINEVILLE AVEMacon, GA 31204-3140

Mailing Address2064 Vineville AveMacon, GA 31204-3140 · (478) 745-5035 · Fax (478) 746-8536

Phone(478) 745-5035

Fax(478) 746-8536

Organization SubpartNo

Authorized OfficialMaria H BartlettManaging Partner · (478) 745-5035

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJuly 15, 2008

✔ NPI 1194879866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2064 VINEVILLE AVE, Macon, GA 31204

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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

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 11D0972850

Heart Of Georgia Cardiology LLC · Macon, GA

Active · expires Apr 18, 2028

CLIA Number11D0972850

Laboratory TypePhysician Office

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorCheryl L. Trobaugh

Laboratory Phone(912) 745-5035

Laboratory LocationHeart Of Georgia Cardiology LLC2064 Vineville Ave, Macon, GA 31204

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

HOLLY ELIZABETH GOODMAN NP

Nurse Practitioner (Acute Care)