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WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1427333293
Internal Medicine - Cardiovascular Disease in Canton, GA

Active since October 12, 2011
720 TRANSIT AVE, SUITE 102, CANTON, GA 30114(770) 704-1955(770) 720-2388 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 1427333293) is a healthcare organization registered as a cardiovascular disease in Canton, Georgia and active in the NPI registry since October 2011. The organization lists Barry D Mangel, Cjief Cardiology Officer, as its authorized official.

NPPES Registry Identity

NPI1427333293
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address720 TRANSIT AVE, SUITE 102Canton, GA 30114-2540
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Phone(770) 704-1955
Fax(770) 720-2388
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialBarry D MangelCjief Cardiology Officer · (770) 424-6893
Enumeration DateOctober 12, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1427333293 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
720 TRANSIT AVE, Canton, GA 30114
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Other Identifiers 2

Medicaid386693863AGA
Medicare PIN511G701144GA

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

Other Providers at the Same Location NPPES 9

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

PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC
Orthopaedic Surgery
720 TRANSIT AVE, SUITE 202
CANTON, GA 30114
Cherokee County (770) 345-5717
KENNESTONE HEART PHYSICIANS GROUP, PC
Internal Medicine (Cardiovascular Disease)
720 TRANSIT AVE, BUILDING 100, SUITE 102
CANTON, GA 30114
Cherokee County (770) 426-4721
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
720 TRANSIT AVE, SUITE 102
CANTON, GA 30114
Cherokee County (678) 880-2840
BETHANY WILEY LILL
Physician Assistant (Surgical)
720 TRANSIT AVE, SUITE 202
CANTON, GA 30114
Cherokee County (770) 427-5717
DR. CHARLES R COOLEY M.D.
Family Medicine
720 TRANSIT AVE, SUITE 101
CANTON, GA 30114
Cherokee County (770) 720-7000
VALERIE CIESLA PT
Physical Therapist
720 TRANSIT AVE, SUITE 202
CANTON, GA 30114
Cherokee County (770) 721-8160
PHYSICIANS FAMILY MEDICINE OF CANTON, LLC
Clinic/Center (Urgent Care)
720 TRANSIT AVE, STE 101
CANTON, GA 30114
Cherokee County (770) 720-7000
ZACHARY RYAN TIPPENS APRN
Nurse Practitioner (Family)
720 TRANSIT AVE
CANTON, GA 30114
Cherokee County (770) 720-7000

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 1427333293. 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 720 Transit Ave Suite 102, Canton, GA 30114. The listed phone number is (770) 704-1955.

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.