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WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1427333277
Internal Medicine - Cardiovascular Disease in Douglasville, GA

Active since October 12, 2011
6001 PROFESSIONAL PKWY, SUITE 2080, DOUGLASVILLE, GA 30134(678) 715-5080(770) 942-6420 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Cardiovascular Medicine, Llc NPPES

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

WELLSTAR CARDIOVASCULAR MEDICINE, LLC (NPI 1427333277) is a healthcare organization registered as a cardiovascular disease in Douglasville, Georgia and active in the NPI registry since October 2011. The organization lists Barry D Mangel, Chief Cardiology Officer, as its authorized official.

NPPES Registry Identity

NPI1427333277
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address6001 PROFESSIONAL PKWY, SUITE 2080Douglasville, GA 30134-5631
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Phone(678) 715-5080
Fax(770) 942-6420
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialBarry D MangelChief Cardiology Officer · (770) 424-6893
Enumeration DateOctober 12, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1427333277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
6001 PROFESSIONAL PKWY, Douglasville, GA 30134
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Other Identifiers 2

Medicare PIN511G701144GA
Medicaid386693863AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 11D1056042

Wellstar Cardiovascular Medicine · Douglasville, GA
Expired · Jul 4, 2026
CLIA Number11D1056042
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2024
Certificate Expiration DateJuly 4, 2026
Laboratory DirectorLee Hans
Laboratory Phone(678) 715-5080
Laboratory LocationWellstar Cardiovascular Medicine6001 Professional Parkway, Suite 2080, Douglasville, GA 30134
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BLATT EYE CENTER, P.C.
Ophthalmology
6001 PROFESSIONAL PKWY, SUITE 2000
DOUGLASVILLE, GA 30134
Douglas County (770) 949-3885
SANDRA E. HARBIN PT
Physical Therapist (Orthopedic)
6001 PROFESSIONAL PKWY, SUITE 1040
DOUGLASVILLE, GA 30134
Douglas County (770) 489-3513
DR. STEPHEN D TEDDER M.D.
Ophthalmology
6001 PROFESSIONAL PKWY, SUITE 2040
DOUGLASVILLE, GA 30134
Douglas County (678) 838-9999
HARI PRAKASH KAIN KASHYAP OTR
Occupational Therapist
6001 PROFESSIONAL PKWY, SUITE 1040
DOUGLASVILLE, GA 30134
Douglas County (770) 489-3513
DR. DAVID S HEMMINGS M.D.
Ophthalmology
6001 PROFESSIONAL PKWY, SUITE 2040
DOUGLASVILLE, GA 30134
Douglas County (678) 838-9999
RESURGENS, LLC
Orthopaedic Surgery
6001 PROFESSIONAL PKWY, SUITE 1040
DOUGLASVILLE, GA 30134
Douglas County (770) 949-7400
DOUGLASVILLE EYE CLINIC PC
Ophthalmology
6001 PROFESSIONAL PKWY, SUITE 2040
DOUGLASVILLE, GA 30134
Douglas County (678) 838-9999
DR. HERBERT L BLATT M.D., J.D.
Ophthalmology
6001 PROFESSIONAL PKWY, SUITE 2000
DOUGLASVILLE, GA 30134
Douglas County (770) 949-3885

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 Wellstar Cardiovascular Medicine, LLC's NPI number?

The NPI number for Wellstar Cardiovascular Medicine, LLC is 1427333277. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Wellstar Cardiovascular Medicine, LLC located?

Wellstar Cardiovascular Medicine, LLC is located at 6001 Professional Pkwy Suite 2080, Douglasville, GA 30134. The listed phone number is (678) 715-5080.

What is Wellstar Cardiovascular Medicine, LLC'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 Wellstar Cardiovascular Medicine, LLC was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.