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EAST ATLANTA CARDIOLOGY LLC
NPI 1851611651
Nurse Practitioner - Adult Health in Conyers, GA

Active since June 03, 2010CLIA 11D1071737 · Waiver
1372 WELLBROOK CIR NE, CONYERS, GA 30012(770) 322-8881(770) 322-8886 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Atlanta Cardiology Llc NPPES

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

EAST ATLANTA CARDIOLOGY LLC (NPI 1851611651), doing business as East Atlanta Cardiology Pc, is a healthcare organization registered as an adult health in Conyers, Georgia and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Muthayyah Srinivasan, Md, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851611651
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameEAST ATLANTA CARDIOLOGY LLC
Location Address1372 WELLBROOK CIR NEConyers, GA 30012-3872
Mailing Address5255 Snapfinger Park Dr, Suite 130Decatur, GA 30035-4084 · (770) 322-8881 · Fax (770) 322-8886
Phone(770) 322-8881
Fax(770) 322-8886
Organization SubpartNo
Authorized OfficialMuthayyah SrinivasanMd, Ceo · (770) 322-8881
Enumeration DateJune 3, 2010
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1851611651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · 52836
1372 WELLBROOK CIR NE, Conyers, GA 30012
Open in Google Maps ↗

Other Names 1

Former Legal Business NameEast Atlanta Cardiology Pc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D1071737

East Atlanta Cardiology · Conyers, GA
Active · expires Sep 1, 2027
CLIA Number11D1071737
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorSrinivasan Muthayyah MD
Laboratory Phone(770) 377-8881
Laboratory LocationEast Atlanta Cardiology1372 Wellbrooke Circle, Conyers, GA 30012
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 6

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

CARDIOVASCULAR CARE CENTER & CRC
Internal Medicine (Cardiovascular Disease)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (470) 500-2273
T DAVID GBADEBO MD
Internal Medicine (Cardiovascular Disease)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (470) 500-2273
GEORGE ISSHAK M.D.
Surgery (Vascular Surgery)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-4024
SURGICAL MEDICAL ASSOCIATES
Physician Assistant
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 985-4257
ATLANTA NEURO CARE PC
Psychiatry & Neurology (Neurology)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 274-3378
NEWTON ROCKDALE SURGICAL SPECIALISTS
Surgery (Vascular Surgery)
1372 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-4024

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 East Atlanta Cardiology LLC's NPI number?

The NPI number for East Atlanta Cardiology LLC is 1851611651. It was assigned to this organization in the NPPES registry on June 3, 2010. The provider was formerly known as East Atlanta Cardiology PC.

Where is East Atlanta Cardiology LLC located?

East Atlanta Cardiology LLC is located at 1372 Wellbrook Cir NE, Conyers, GA 30012. The listed phone number is (770) 322-8881.

What is East Atlanta Cardiology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does East Atlanta Cardiology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1071737) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Atlanta Cardiology LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list East Atlanta Cardiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Atlanta Cardiology LLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.