EAST ATLANTA CARDIOLOGY LLC
NPI 1851611651
Nurse Practitioner - Adult Health in Conyers, GA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Atlanta Cardiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East Atlanta Cardiology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is East Atlanta Cardiology LLC enrolled in Medicare?
Yes. East Atlanta Cardiology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Atlanta Cardiology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to East Atlanta Cardiology LLC, in Cardiac Electrophysiology and Cardiovascular Disease (Cardiology). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 12 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.
# East Atlanta Cardiology Llc · NPI 1851611651
Adult Health organization in Conyers, Georgia. Organization record, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1851611651 (Entity type: Organization)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Also known as:** East Atlanta Cardiology PC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Muthayyah Srinivasan, MD, CEO
## Practice location
- **Address:** 1372 WELLBROOK CIR NE, Conyers, GA 30012-3872
- **Phone:** (770) 322-8881 · **Fax:** (770) 322-8886
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiac Electrophysiology (1), Cardiovascular Disease (Cardiology) (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851611651) · Data from the CMS NPPES public registry.