HEART AND VASCULAR CARE OF GEORGIA
NPI 1558592089
Internal Medicine - Interventional Cardiology in Lagrange, GA
NPI Status: Active since July 31, 2009
Contact Information
1551 DOCTORS DR
BLDG 200
LAGRANGE, GA
ZIP 30240
Phone: (706) 884-2641
Fax: (706) 884-2353
- Organization
- Internal Medicine
- Interventional Cardiology
- CLIA Number: 11D2143043
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-23-2026
About HEART AND VASCULAR CARE OF GEORGIA
This page provides the complete NPI Profile along with additional information for Heart And Vascular Care Of Georgia, an internist established in Lagrange, Georgia operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1558592089 assigned on July 2009. The practitioner's primary taxonomy code is 207RI0011X with license number 057240 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Heart And Vascular Care Of Georgia. The authorized official of this NPI record is Gerald Fulks (Pres / Ceo)
- NPI
- 1558592089
- Provider Legal Name
- WEST GEORGIA MEDICAL CENTER INC
- Other Organization Name
- HEART AND VASCULAR CARE OF GEORGIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1551 DOCTORS DR BLDG 200 LAGRANGE, GA 30240
- Location Phone
- (706) 884-2641
- Location Fax
- (706) 884-2353
- Mailing Address
- PO BOX 435 LAGRANGE, GA 30241
- Mailing Phone
- (706) 884-2641
- Mailing Fax
- (706) 884-2353
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-31-2009
- Last Update Date
- 10-13-2009
- Code Navigator
An internist like Heart And Vascular Care Of Georgia is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 057240
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 057240 (GA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 685223213B | MEDICAID (05) | GA | |
| 202I061458 | OTHER (01) | GA | MEDICARE PTAN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2143043
- Facility Type
- Physician Office
- Certificate Effective Date
- January 24, 2024
- Certificate Expiration Date
- January 23, 2026
- Laboratory Director
- ANGAMPALLY G. RAJEEV
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heart And Vascular Care Of Georgia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558592089, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
LAGRANGE, GA 30240
LAGRANGE, GA 30240
LAGRANGE, GA 30240
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558592089, enumerated as an "organization" on July 31, 2009.
The provider is located at 1551 DOCTORS DR BLDG 200 LAGRANGE, GA 30240 and the phone number is (706) 884-2641.
Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
