Georgia Heart Care, LLC
Specialist in Cumming, GA. Organization (NPI-2).
NPI number1689728636
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1689728636
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Heart Care, LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 033352 | GA | Yes |
Practice location
1200 Bald Ridge Marina RdSuite 150
Cumming, GA 30041-8494
Phone 770-886-0003 · Fax 770-886-5030
Mailing address
1200 Bald Ridge Marina RdSuite 150
Cumming, GA 30041-8494
Phone 770-886-0003 · Fax 770-886-5030
Authorized official
Yitzhak Isaac Hermoni
Owner
7708860003
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