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KENNESTONE HEART PHYSICIANS GROUP
NPI 1306086228
Internal Medicine - Cardiovascular Disease in Canton, GA

Active since March 05, 2009
200 OAKSIDE LN, SUITE D, CANTON, GA 30114(770) 426-4721(678) 880-6513 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennestone Heart Physicians Group NPPES

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

KENNESTONE HEART PHYSICIANS GROUP (NPI 1306086228) is a healthcare organization registered as a cardiovascular disease in Canton, Georgia and active in the NPI registry since March 2009. The organization lists Wm Michael Brown, President, as its authorized official.

NPPES Registry Identity

NPI1306086228
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameKENNESTONE HEART PHYSICIANS GROUP
Location Address200 OAKSIDE LN, SUITE DCanton, GA 30114-6416
Mailing Address355 Tower Rd Ne, Suite 300Marietta, GA 30060-9408 · (770) 426-4721 · Fax (770) 424-0391
Phone(770) 426-4721
Fax(678) 880-6513
Organization SubpartNo
Authorized OfficialWm Michael BrownPresident · (678) 797-4113
Enumeration DateMarch 5, 2009
✔ NPI 1306086228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 2009PROFS-0051
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.
200 OAKSIDE LN, Canton, GA 30114
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Other Identifiers 1

Medicaid300025641KGA

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

Other Providers at the Same Location NPPES 3

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

CANTON SPECIALTY IMAGING, LLC
Specialist
200 OAKSIDE LN, SUITE A
CANTON, GA 30114
Cherokee County (770) 479-1945
DR. TERU KAY LAPAQUETTE M.D.
Obstetrics & Gynecology
200 OAKSIDE LN, SUITE D
CANTON, GA 30114
Cherokee County (770) 720-1326
IMAGING ASSOCIATES OF CANTON
Clinic/Center (Radiology)
200 OAKSIDE LN, SUITE A
CANTON, GA 30114
Cherokee County (770) 479-1945

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 Kennestone Heart Physicians Group's NPI number?

The NPI number for Kennestone Heart Physicians Group is 1306086228. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Kennestone Heart Physicians Group located?

Kennestone Heart Physicians Group is located at 200 Oakside Ln Suite D, Canton, GA 30114. The listed phone number is (770) 426-4721.

What is Kennestone Heart Physicians Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennestone Heart Physicians Group was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.