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WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1952686826
Internal Medicine - Cardiovascular Disease in Austell, GA

Active since October 11, 2011
1700 HOSPITAL SOUTH DR, SUITE 409, AUSTELL, GA 30106(770) 732-9100(678) 819-0360 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 30, 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 1952686826) is a healthcare organization registered as a cardiovascular disease in Austell, 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

NPI1952686826
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address1700 HOSPITAL SOUTH DR, SUITE 409Austell, GA 30106-6810
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Phone(770) 732-9100
Fax(678) 819-0360
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialBarry D MangelChief Cardiology Officer · (770) 424-6893
Enumeration DateOctober 11, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1952686826 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
1700 HOSPITAL SOUTH DR, Austell, GA 30106
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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 20

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

MS. COLETTE M TETREAULT CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
THE HEART CLINIC, P.C.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 302
AUSTELL, GA 30106
Cobb County (770) 739-0999
MRS. STEPHANIE R BONHAUS CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (771) 941-7717
EMILY A GOOLSBY CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
MR. MICHAEL DAMIEN RODRIGUEZ MSW
Social Worker (Clinical)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 948-3233
DR. JACOB NATHAN BLATT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 424-6893
JEFFREY F HINES MD
Obstetrics & Gynecology (Gynecologic Oncology)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 792-6262
DR. MICAH R. TEPPER M.D.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 732-9100

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 1952686826. It was assigned to this organization in the NPPES registry on October 11, 2011.

Where is Wellstar Cardiovascular Medicine, LLC located?

Wellstar Cardiovascular Medicine, LLC is located at 1700 Hospital South Dr Suite 409, Austell, GA 30106. The listed phone number is (770) 732-9100.

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.