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HEART AND VASCULAR CARE OF GEORGIA
NPI 1558592089
Internal Medicine - Interventional Cardiology in Lagrange, GA

Active since July 31, 2009CLIA 11D2143043 · Waiver
1551 DOCTORS DR, BLDG 200, LAGRANGE, GA 30240(706) 884-2641(706) 884-2353 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Heart And Vascular Care Of Georgia NPPES

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

HEART AND VASCULAR CARE OF GEORGIA (NPI 1558592089) is a healthcare organization registered as an interventional cardiology in Lagrange, Georgia and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Gerald Fulks, Pres / Ceo, as its authorized official.

NPPES Registry Identity

NPI1558592089
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameWEST GEORGIA MEDICAL CENTER INC
Location Address1551 DOCTORS DR, BLDG 200Lagrange, GA 30240-4139
Mailing AddressPo Box 435Lagrange, GA 30241-0008 · (706) 884-2641 · Fax (706) 884-2353
Phone(706) 884-2641
Fax(706) 884-2353
Organization SubpartYesParent: West Georgia Medical Center, Inc
Authorized OfficialGerald FulksPres / Ceo · (706) 882-1411
Enumeration DateJuly 31, 2009
Last NPPES UpdateOctober 13, 2009
✔ NPI 1558592089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in GA · 057240
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 057240 (GA)
1551 DOCTORS DR, Lagrange, GA 30240
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Other Names 1

Doing Business AsHeart And Vascular Care Of Georgia

Other Identifiers 2

Medicaid685223213BGA
Other202I061458GA · Medicare Ptan

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 MULTIPLE SINGLE 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 11D2143043

Heart And Vascular Care Of Georgia · Lagrange, GA
Active · expires Jan 23, 2028
CLIA Number11D2143043
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorAngampally G. Rajeev
Laboratory Phone(706) 407-0161
Laboratory LocationHeart And Vascular Care Of Georgia505 Jenkins Street, Lagrange, GA 30240
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MARIA ANN DANIEL NP
Nurse Practitioner
1551 DOCTORS DR, BUILDING 200
LAGRANGE, GA 30240
Troup County (706) 884-2641
ALEX K HARRIS PHD, PA-S
Physician Assistant
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 884-2641
DR. ARIYO OLUWOLE OLOBATOKE MD
Internal Medicine (Pulmonary Disease)
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 880-7222
DR. BRAD ALAN BOWYER MD
Internal Medicine (Gastroenterology)
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 880-7311
DR. SALMAN SHIRAZHUSSEIN FIDAHUSSEIN M.D.
Internal Medicine (Critical Care Medicine)
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 880-7222
ERIN THOMPSON SPINKS NP
Nurse Practitioner (Family)
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 803-7450
GASTROENTEROLOGY CENTER OF WEST GEORGIA PC
Specialist
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (703) 684-5771
MRS. BRANDY LEIGH YARBROUGH N.P.
Nurse Practitioner
1551 DOCTORS DR
LAGRANGE, GA 30240
Troup County (706) 803-7450

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 West Georgia Medical Center Inc's NPI number?

The NPI number for West Georgia Medical Center Inc is 1558592089. It was assigned to this organization in the NPPES registry on July 31, 2009. The provider is doing business as Heart And Vascular Care Of Georgia.

Where is West Georgia Medical Center Inc located?

West Georgia Medical Center Inc is located at 1551 Doctors Dr Bldg 200, Lagrange, GA 30240. The listed phone number is (706) 884-2641.

What is West Georgia Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Does West Georgia Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2143043) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Georgia Medical Center Inc was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.