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WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1659656403
Internal Medicine - Cardiovascular Disease in Hiram, GA

Active since October 12, 2011
148 BILL CARRUTH PKWY, SUITE 100, HIRAM, GA 30141(678) 324-4444(770) 528-9932 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Cardiovascular Medicine, Llc NPPES

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

WELLSTAR CARDIOVASCULAR MEDICINE, LLC (NPI 1659656403) is a healthcare organization registered as a cardiovascular disease in Hiram, 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

NPI1659656403
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address148 BILL CARRUTH PKWY, SUITE 100Hiram, GA 30141-3754
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Phone(678) 324-4444
Fax(770) 528-9932
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 1659656403 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
148 BILL CARRUTH PKWY, Hiram, GA 30141
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Other Identifiers 2

Medicare PIN511G701144GA
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 10

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

DR. VANCHAD C MEMARK M.D.
Surgery
148 BILL CARRUTH PKWY, SUITE 180
HIRAM, GA 30141
Paulding County (770) 445-4915
MS. JUDY OZERYANSKY P.T.
Physical Therapist
148 BILL CARRUTH PKWY, SUITE 120
HIRAM, GA 30141
Paulding County (770) 443-7136
ALAN CHUNG-KEE CHENG M.D.
Internal Medicine (Cardiovascular Disease)
148 BILL CARRUTH PKWY, SUITE 100
HIRAM, GA 30141
Paulding County (678) 324-4444
REBECCA YOUNGBLOOD VAUGHN M.D.
Dermatology
148 BILL CARRUTH PKWY, STE 280
HIRAM, GA 30141
Paulding County (678) 363-3343
DR. CHRISTINE MIN MD
Radiology (Radiation Oncology)
148 BILL CARRUTH PKWY, SUITE LL30
HIRAM, GA 30141
Paulding County (770) 505-3855
KIMBERLY PATTERSON MPT
Physical Therapist
148 BILL CARRUTH PKWY, SUITE 160
HIRAM, GA 30141
Paulding County (470) 956-8990
TIMOTHY ZACHARY BROCK M.D.
Surgery
148 BILL CARRUTH PKWY, SUITE 180
HIRAM, GA 30141
Paulding County (770) 445-4915
JESSICA EBONG PA-C
Physician Assistant
148 BILL CARRUTH PKWY
HIRAM, GA 30141
Paulding County (470) 610-0145

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 1659656403. 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 148 Bill Carruth Pkwy Suite 100, Hiram, GA 30141. The listed phone number is (678) 324-4444.

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 with the weekly NPPES data releases published by CMS.