WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1992082739
Internal Medicine - Cardiovascular Disease in Marietta, GA

Active since November 08, 2011
700 CHURCH ST NE, MARIETTA, GA 30060(770) 420-1752(770) 420-1777 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 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 1992082739) is a healthcare organization registered as a cardiovascular disease in Marietta, Georgia and active in the NPI registry since November 2011. The organization lists Barry D Mangel, Chief Cardiology Officer, as its authorized official.

NPPES Registry Identity

NPI1992082739
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address700 CHURCH ST NEMarietta, GA 30060-7220
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 242-6893 · Fax (770) 528-9938
Fax(770) 420-1777
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialBarry D MangelChief Cardiology Officer · (770) 424-6893
Enumeration DateNovember 8, 2011
Last NPPES UpdateMay 9, 2012
NPI 1992082739 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.
700 CHURCH ST NE, Marietta, GA 30060

Other Identifiers 2

Medicaid386693863AGA
Medicare PIN511G701144GA

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 8

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

Internal Medicine (Rheumatology)
700 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
700 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
700 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
700 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine (Rheumatology)
700 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine (Rheumatology)
700 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
700 CHURCH ST NE
MARIETTA, GA 30060
Clinic/Center (Medical Specialty)
700 CHURCH ST NE
MARIETTA, GA 30060

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 1992082739. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Wellstar Cardiovascular Medicine, LLC located?

Wellstar Cardiovascular Medicine, LLC is located at 700 Church St NE, Marietta, GA 30060. The listed phone number is (770) 420-1752.

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.