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GEORGIA HEART INSTITUTE LLC
NPI 1477976520
Internal Medicine - Cardiovascular Disease in Gainesville, GA

Active since January 27, 2014CLIA Certified · 4 labs
200 S ENOTA DR NE STE 200, GAINESVILLE, GA 30501(770) 534-2020(770) 534-8025 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, May 16, 2023, Sep 30, 2021 and 11 more (14 updates tracked since 2018).

About Georgia Heart Institute Llc NPPES

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

GEORGIA HEART INSTITUTE LLC (NPI 1477976520) is a healthcare organization registered as a cardiovascular disease in Gainesville, Georgia and active in the NPI registry since January 2014. The organization holds 4 active CLIA laboratory certificates and lists Karen Reyer, Director, Cbo, as its authorized official.

NPPES Registry Identity

NPI1477976520
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGEORGIA HEART INSTITUTE LLC
Location Address200 S ENOTA DR NE STE 200Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 534-2020
Fax(770) 534-8025
Organization SubpartYesParent: Northeast Georgia Health Systems, Inc.
Authorized OfficialKaren ReyerDirector, Cbo · (770) 219-8051
Enumeration DateJanuary 27, 2014
Last NPPES UpdateNovember 2, 202314 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1477976520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
200 S ENOTA DR NE STE 200, Gainesville, GA 30501
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Heart Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

131

Medicare enrollment records show 131 clinicians reassign Medicare billing to Georgia Heart Institute LLC, which bills Medicare for the services they deliver. Of these, 46 practice at this address and 79 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner69
Cardiovascular Disease (Cardiology)34
Cardiac Electrophysiology9
Interventional Cardiology9
Advanced Heart Failure and Transplant Cardiology4
Internal Medicine3
Registered Dietitian or Nutrition Professional2
Hospitalist1

Nearest to this location (20)

See all 131
Mudassar Ahmed, MBBS
Interventional Cardiology
NPI 1366595324
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Lauren Ayala, AGACNP
Nurse Practitioner
NPI 1982871109
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Bonnie Cain, FNP
Nurse Practitioner
NPI 1669191334
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Lawrence Charles, M.D.
Cardiovascular Disease (Cardiology)
NPI 1801327267
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 886-5184
✔ PECOS✔ Accepts MedicareSame address
Marc Erickson, MD
Cardiac Electrophysiology
NPI 1265939268
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 219-0950
✔ PECOSSame address
Zachary George, M.D.
Cardiovascular Disease (Cardiology)
NPI 1548215825
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Julia Griffin, FNP
Nurse Practitioner
NPI 1851147011
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 599-2366
✔ PECOS✔ Accepts MedicareSame address
Glen Henry, M.D., F.A.C.C.
Interventional Cardiology
NPI 1720077324
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Charyl Hermann, AGNP-C
Nurse Practitioner
NPI 1134899206
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Evan Hiner, M.D.
Cardiovascular Disease (Cardiology)
NPI 1821400441
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Melissa Johnson, FNP-BC
Nurse Practitioner
NPI 1518640580
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 848-7885
✔ PECOS✔ Accepts MedicareSame address
Gautham Kanagaraj, M.D.
Cardiac Electrophysiology
NPI 1316207624
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 219-0950
✔ PECOS✔ Accepts MedicareSame address
Sanjay Lall, M.D.
Cardiovascular Disease (Cardiology)
NPI 1699779488
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Rajasekhar Mulyala, M.D
Cardiovascular Disease (Cardiology)
NPI 1922255868
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Murtaza Sundhu, MD
Cardiac Electrophysiology
NPI 1104206424
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 219-0950
✔ PECOS✔ Accepts MedicareSame address
Brian Vickers, MD
Cardiac Electrophysiology
NPI 1396277927
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Giancarlo Acosta, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1609155969
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Joon Ahn, MD
Cardiac Electrophysiology
NPI 1609820075
200 S ENOTA DR NE STE 480
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Emmanuel Amoran, MD
Internal Medicine
NPI 1356896724
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
Ugochukwu Egolum, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1558687384
200 S ENOTA DR NE STE 100
Gainesville, GA 30501
(770) 534-2020
✔ PECOS✔ Accepts MedicareSame address
See all 131 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 11D0975971

Georgia Heart Institute, LLC - Gainesville · Gainesville, GA
Active · expires Jul 20, 2028
CLIA Number11D0975971
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorMitchell G. Davis
Laboratory Phone(770) 534-2020
Laboratory LocationGeorgia Heart Institute, LLC - Gainesville200 South Enota Drive, NE, Suite 100, Gainesville, GA 30501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2043374

Georgia Heart Institute LLC · Toccoa, GA
Active · expires Jul 1, 2028
CLIA Number11D2043374
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorManivannan Veerasamy
Laboratory Phone(770) 534-2020
Laboratory LocationGeorgia Heart Institute LLC58 Big A Road, Suite 400, Toccoa, GA 30577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2074650

Georgia Heart Institute LLC - Clayton · Clayton, GA
Active · expires Mar 12, 2028
CLIA Number11D2074650
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorMark W. Wolozin
Laboratory Phone(770) 534-2020
Laboratory LocationGeorgia Heart Institute LLC - Clayton536 Highway 441 South, Clayton, GA 30525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2281507

Georgia Heart Institute Habersham · Demorest, GA
Active · expires May 7, 2027
CLIA Number11D2281507
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorJaime Burkle
Laboratory Phone(770) 534-2020
Laboratory LocationGeorgia Heart Institute Habersham638 Historic Highway 441 Suite B, Demorest, GA 30535
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Institute LLC's NPI number?

The NPI number for Georgia Heart Institute LLC is 1477976520. It was assigned to this organization in the NPPES registry on January 27, 2014.

Where is Georgia Heart Institute LLC located?

Georgia Heart Institute LLC is located at 200 S Enota Dr NE Ste 200, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is Georgia Heart Institute LLC's specialty?

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

Is Georgia Heart Institute LLC enrolled in Medicare?

Yes. Georgia Heart Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Heart Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 131 clinicians in 8 Medicare specialties reassign their Medicare billing to Georgia Heart Institute LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (69), Cardiovascular Disease (Cardiology) (34) and Cardiac Electrophysiology (9). Of these, 46 practice at this address and 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Heart Institute LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Georgia Heart Institute LLC accept?

Health plans from Alliant Health Plans, Inc. list Georgia Heart Institute 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 Institute LLC was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.