WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1639454408
Internal Medicine - Cardiovascular Disease in Jasper, GA

Q: What is Wellstar Cardiovascular Medicine, LLC's specialty?

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

Active since October 12, 2011

12 SAMMY MCGHEE BLVD, SUITE 202, JASPER, GA 30143(770) 704-1955(770) 720-2388 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wellstar Cardiovascular Medicine, Llc NPPES

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

WELLSTAR CARDIOVASCULAR MEDICINE, LLC (NPI 1639454408) is a healthcare organization registered as a cardiovascular disease in Jasper, Georgia and active in the NPI registry since October 2011. The organization lists Barry D Mangel, Chief Cardiology Officer, as its authorized official.

NPPES Registry Identity

NPI1639454408

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC

Location Address12 SAMMY MCGHEE BLVD, SUITE 202Jasper, GA 30143-7711

Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938

Phone(770) 704-1955

Fax(770) 720-2388

Organization SubpartYesParent: Wellstar Health System, Inc.

Authorized OfficialBarry D MangelChief Cardiology Officer · (770) 424-6893

Enumeration DateOctober 12, 2011

Last NPPES UpdateMay 9, 2012

✔ NPI 1639454408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

12 SAMMY MCGHEE BLVD, Jasper, GA 30143

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Other Identifiers 2

Medicare PIN511G70144GA

Medicaid386693863AGA

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

Other Providers at the Same Location NPPES 6

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

COMPLETE HEALTH DIAGNOSTICS, INC.

Technician, Other

12 SAMMY MCGHEE BLVD, SUITE 203
JASPER, GA 30143

Pickens County (706) 253-6553

DR. MOIZ VASIM MASTER M.D.

Internal Medicine

12 SAMMY MCGHEE BLVD, SUITE 101
JASPER, GA 30143

Pickens County (706) 253-3344

MOUNTAINSIDE PEDIATRICS

Clinic/Center (Primary Care)

12 SAMMY MCGHEE BLVD, SUITE 102
JASPER, GA 30143

Pickens County (706) 253-9898

KHAWAJA R MAHMOOD M.D.

Pediatrics (Adolescent Medicine)

12 SAMMY MCGHEE BLVD, STE 102
JASPER, GA 30143

Pickens County (706) 253-9898

MASTERCARE MEDICAL CENTER

Legal Medicine

12 SAMMY MCGHEE BLVD, STE. 101
JASPER, GA 30143

Pickens County (706) 253-3344

JEANNE FRANCES ANDERSON

Nurse Practitioner (Family)

12 SAMMY MCGHEE BLVD, SUITE 101
JASPER, GA 30143

Pickens County (706) 253-3344

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 Wellstar Cardiovascular Medicine, LLC's NPI number?

The NPI number for Wellstar Cardiovascular Medicine, LLC is 1639454408. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Wellstar Cardiovascular Medicine, LLC located?

Wellstar Cardiovascular Medicine, LLC is located at 12 Sammy Mcghee Blvd Suite 202, Jasper, GA 30143. The listed phone number is (770) 704-1955.

What is Wellstar Cardiovascular Medicine, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wellstar Cardiovascular Medicine, LLC was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.