GEORGIA HEART SPECIALISTS, LLC
NPI 1467449926
Specialist in Covington, GA

Active since September 30, 2005CLIA 11D1036377 · Waiver
4140 TATE ST NE, COVINGTON, GA 30014(770) 786-0077(770) 786-8750 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Heart Specialists, Llc NPPES

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

GEORGIA HEART SPECIALISTS, LLC (NPI 1467449926) is a healthcare organization registered as a specialist in Covington, Georgia and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Bridget Hummel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467449926
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGIA HEART SPECIALISTS, LLC
Location Address4140 TATE ST NECovington, GA 30014-2562
Mailing Address4140 Tate St NeCovington, GA 30014-2562 · (770) 786-0077 · Fax (770) 786-8750
Fax(770) 786-8750
Organization SubpartNo
Authorized OfficialBridget HummelOffice Manager · (770) 786-0077
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMarch 26, 2015
NPI 1467449926 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.
4140 TATE ST NE, Covington, GA 30014

Other Identifiers 3

Medicare PINGRP3382GA
Medicaid00408614FGA
Medicare UPINE61391GA

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

Accepted Insurance

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 11D1036377

Georgia Heart Specialists LLC · Covington, GA
Active · expires Jan 26, 2027
CLIA Number11D1036377
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorMicheal Cecil
Laboratory Phone(770) 786-0077
Laboratory LocationGeorgia Heart Specialists LLC4140 Tate Street, Covington, GA 30014
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 4

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

Internal Medicine (Interventional Cardiology)
4140 TATE ST NE
COVINGTON, GA 30014
Internal Medicine (Cardiovascular Disease)
4140 TATE ST NE
COVINGTON, GA 30014
Internal Medicine (Cardiovascular Disease)
4140 TATE ST NE
COVINGTON, GA 30014
Internal Medicine (Cardiovascular Disease)
4140 TATE ST NE
COVINGTON, GA 30014

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 Georgia Heart Specialists, LLC's NPI number?

The NPI number for Georgia Heart Specialists, LLC is 1467449926. It was assigned to this organization in the NPPES registry on September 30, 2005.

Where is Georgia Heart Specialists, LLC located?

Georgia Heart Specialists, LLC is located at 4140 Tate St NE, Covington, GA 30014. The listed phone number is (770) 786-0077.

What is Georgia Heart Specialists, LLC's specialty?

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

Does Georgia Heart Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1036377) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia Heart Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Heart Specialists, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgia Heart Specialists, LLC was last updated on March 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.