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ATLANTA CARDIOLOGY AND PRIMARY CARE PC
NPI 1629277017
Internal Medicine in Tucker, GA

Active since July 16, 2007CLIA 11D0948246 · Waiver
3562 HABERSHAM AT NORTHLAKE, BUILDING J, TUCKER, GA 30084(404) 296-1130(404) 296-1132 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atlanta Cardiology And Primary Care Pc NPPES

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

ATLANTA CARDIOLOGY AND PRIMARY CARE PC (NPI 1629277017) is a healthcare organization registered as an internal medicine in Tucker, Georgia and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Bobby V Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1629277017
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLANTA CARDIOLOGY PRIMARY CARE PC
Location Address3562 HABERSHAM AT NORTHLAKE, BUILDING JTucker, GA 30084-4009
Mailing Address3562 Habersham At Northlake, Building JTucker, GA 30084-4009 · (404) 296-1130 · Fax (404) 296-1132
Phone(404) 296-1130
Fax(404) 296-1132
Organization SubpartNo
Authorized OfficialBobby V KhanOwner · (404) 296-1130
Enumeration DateJuly 16, 2007
✔ NPI 1629277017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047506
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 037251 (GA)
3562 HABERSHAM AT NORTHLAKE, Tucker, GA 30084
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Other Names 1

Doing Business AsAtlanta Cardiology And Primary Care Pc

Other Identifiers 1

Medicare OSCAR/certificationGRP2782GA

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

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 11D0948246

Atlanta Cardiology And Primary Care PC · Atlanta, GA
Active · expires Nov 15, 2027
CLIA Number11D0948246
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorBobby V. Khan
Laboratory Phone(404) 296-1130
Laboratory LocationAtlanta Cardiology And Primary Care PC5671 Peachtree Dunwoody Road, Suite 550, Atlanta, GA 30342
CLIA data matches this NPI record on: 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.

ADRIAN VERWAYNE
Counselor (Mental Health)
3562 HABERSHAM AT NORTHLAKE, BUILDING J
TUCKER, GA 30084
Dekalb County (678) 261-7546
FIRST AID COMMUNITY HEALTHCARE, INC
Clinic/Center
3562 HABERSHAM AT NORTHLAKE
TUCKER, GA 30084
Dekalb County (770) 270-2231
ATLANTA VASCULAR RESEARCH FOUNDATION
Specialist (Research Study)
3562 HABERSHAM AT NORTHLAKE, BUILDING J
TUCKER, GA 30084
Dekalb County (770) 621-9656
ATLANTA CLINICAL RESEARCH CENTER
Specialist (Research Study)
3562 HABERSHAM AT NORTHLAKE, BUILDING J
TUCKER, GA 30084
Dekalb County (770) 621-9656

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 Atlanta Cardiology Primary Care PC's NPI number?

The NPI number for Atlanta Cardiology Primary Care PC is 1629277017. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is doing business as Atlanta Cardiology And Primary Care PC.

Where is Atlanta Cardiology Primary Care PC located?

Atlanta Cardiology Primary Care PC is located at 3562 Habersham At Northlake Building J, Tucker, GA 30084. The listed phone number is (404) 296-1130.

What is Atlanta Cardiology Primary Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Atlanta Cardiology Primary Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0948246) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlanta Cardiology Primary Care PC was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.