CARDIOLOGY CARE CLINIC, LLC
NPI 1902452774
Clinic/Center - Rehabilitation, Cardiac Facilities in Eatonton, GA

Q: What is Cardiology Care Clinic, LLC's NPI number?

The NPI number for Cardiology Care Clinic, LLC is 1902452774. It was assigned to this organization in the NPPES registry on August 16, 2019.

Q: What is Cardiology Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.

Active since August 16, 2019

119 HARMONY XING STE 3, EATONTON, GA 31024(706) 485-4004(706) 262-2986 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2020, Aug 16, 2019 (2 updates tracked since 2019).

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About Cardiology Care Clinic, Llc NPPES

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

CARDIOLOGY CARE CLINIC, LLC (NPI 1902452774) is a healthcare organization registered as a rehabilitation, cardiac facilities in Eatonton, Georgia and active in the NPI registry since August 2019. The organization maintains a secondary practice location in Eatonton and lists Nicolas A.f. Chronos, Owner, as its authorized official.

NPPES Registry Identity

NPI1902452774

Entity TypeOrganization

Primary Taxonomy261QR0404X

Legal Business NameCARDIOLOGY CARE CLINIC, LLC

Location Address119 HARMONY XING STE 3Eatonton, GA 31024-9571

Mailing Address119 Harmony Xing Ste 3Eatonton, GA 31024-9571 · (706) 485-4004 · Fax (706) 484-2453

Phone(706) 485-4004

Fax(706) 262-2986

Organization SubpartNo

Authorized OfficialNicolas A.f. ChronosOwner · (706) 485-4004

Enumeration DateAugust 16, 2019

Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1902452774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Cardiac FacilitiesAmbulatory Health Care Facilities

Taxonomy Code261QR0404X

119 HARMONY XING STE 3, Eatonton, GA 31024

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Secondary Practice Location 1

Location 1117 Harmony Crossing, Suite 1Eatonton, GA 31024-9548 · Phone (706) 485-4004 ext. 407 · Fax (706) 484-2453

Other Identifiers 1

Medicaid000840364QGA

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 11D2044459

Cardiology Care Clinic, LLC · Eatonton, GA

Expired · Jul 24, 2026

CLIA Number11D2044459

Laboratory TypePhysician Office

Certificate Effective DateJuly 25, 2024

Certificate Expiration DateJuly 24, 2026

Laboratory DirectorNicolas A F Chronos

Laboratory Phone(706) 485-4004

Laboratory LocationCardiology Care Clinic, LLC119 Harmony Crossing, Suite 3, Eatonton, GA 31024

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 13

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

PETER D CHAPMAN MD

Internal Medicine (Cardiovascular Disease)