Provider Demographics
NPI:1598941130
Name:CARDIOLOGY CONSULTANTS OF ATLANTA
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-298-2220
Mailing Address - Street 1:2801 NORTH DECATUR ROAD
Mailing Address - Street 2:SUITE 395
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033
Mailing Address - Country:US
Mailing Address - Phone:404-298-2220
Mailing Address - Fax:678-904-5336
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 395
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-298-2220
Practice Address - Fax:678-904-5336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050480207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA21212864020OtherBEECHSTREET
GA52853109-005OtherSTATE HEALTH
GA1892313OtherFIRST HEALTH
GA415015OtherCOVENTRY HEALTHCARE
GA52853109-004OtherBLUE CHOICE
GA7306145OtherAETNA
GA282622OtherWELLCARE
GA52853109004OtherBOARD OF REGENTS
GA000001486322OtherGREAT WEST
GA109005OtherBCBS
GAP00306475OtherRAILROAD MEDICARE
GA52853109004OtherBOARD OF REGENTS