WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1811272693
Internal Medicine - Cardiovascular Disease in Woodstock, GA
NPI Status: Active since October 12, 2011
Contact Information
120 STONEBRIDGE PKWY
SUITE 110
WOODSTOCK, GA
ZIP 30189
Phone: (678) 324-4400
Fax: (770) 528-9933
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 11D1082317
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-06-2026
About WELLSTAR CARDIOVASCULAR MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Wellstar Cardiovascular Medicine, Llc, an internist established in Woodstock, Georgia operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1811272693 assigned on October 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Wellstar Cardiovascular Medicine, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Barry D Mangel (Chief Cardiology Officer)
- NPI
- 1811272693
- Provider Name
- WELLSTAR CARDIOVASCULAR MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 120 STONEBRIDGE PKWY SUITE 110 WOODSTOCK, GA 30189
- Location Phone
- (678) 324-4400
- Location Fax
- (770) 528-9933
- Mailing Address
- 55 WHITCHER ST NE SUITE 350 MARIETTA, GA 30060
- Mailing Phone
- (770) 424-6893
- Mailing Fax
- (770) 528-9933
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-12-2011
- Last Update Date
- 05-09-2012
- Code Navigator
An internist like Wellstar Cardiovascular Medicine, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 386693863A | MEDICAID (05) | GA | |
| 511G701144 | MEDICARE PIN (08) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1082317
- Facility Type
- Physician Office
- Certificate Effective Date
- April 07, 2024
- Certificate Expiration Date
- April 06, 2026
- Laboratory Director
- BARRY M. MANGEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Cardiovascular Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 2 | 7 | 2 | 6 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 4 | 7 | 4 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 4 + 7 + 4 + 6 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1811272693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740237387 | WELLSTAR URGENT CARE AT TOWNE LAKE, LLC Organization | Emergency Medicine | 120 STONEBRIDGE PKWY WOODSTOCK, GA 30189 (678) 494-2500 |
| 1811933294 | AMANDEEP KAUR DEOL P.T. Individual | Physical Therapist (Orthopedic) | 120 STONEBRIDGE PKWY SUITE 100 WOODSTOCK, GA 30189 (770) 926-6520 |
| 1962566042 | KENNESTONE HEART PHYSICIANS GROUP Organization | Internal Medicine (Cardiovascular Disease) | 120 STONEBRIDGE PKWY SUITE 440 WOODSTOCK, GA 30189 (770) 426-4721 |
| 1720138696 | DR. JAMES DAVID ELLNER M.D. Individual | Pain Medicine (Interventional Pain Medicine) | 120 STONEBRIDGE PKWY SUITE 420 WOODSTOCK, GA 30189 (770) 544-1000 |
| 1033392832 | GEORGIA PAIN MANAGEMENT Organization | Clinic/Center (Pain) | 120 STONEBRIDGE PKWY SUITE 420 WOODSTOCK, GA 30189 (770) 544-1000 |
| 1396030078 | WELLSTAR MEDICAL GROUP, LLC Organization | Clinic/Center (Urgent Care) | 120 STONEBRIDGE PKWY SUITE 310 WOODSTOCK, GA 30189 (678) 494-2500 |
| 1447691365 | MRS. DEBORAH A KING APRN Individual | Nurse Practitioner (Family) | 120 STONEBRIDGE PKWY SUITE 410 WOODSTOCK, GA 30189 (770) 517-6804 |
| 1215327663 | PEACHTREE ORTHOPAEDIC CLINIC, PA Organization | Durable Medical Equipment & Medical Supplies | 120 STONEBRIDGE PKWY SUITE 440 WOODSTOCK, GA 30189 (404) 355-0743 |
| 1194986307 | ANIL OOMMEN THOMAS M.D. Individual | Orthopaedic Surgery | 120 STONEBRIDGE PKWY SUITE 440 WOODSTOCK, GA 30189 (770) 977-7777 |
| 1700961257 | DR. CARLOS M GARCIA MD Individual | Internal Medicine | 120 STONEBRIDGE PKWY WOODSTOCK, GA 30189 (678) 494-2500 |
| 1528119252 | SAMSON PAIN CENTER Organization | Clinic/Center (Ambulatory Surgical) | 120 STONEBRIDGE PKWY SUITE 420 WOODSTOCK, GA 30189 (770) 544-1000 |
| 1730882861 | AMY C MURPHY FNP Individual | Nurse Practitioner (Family) | 120 STONEBRIDGE PKWY WOODSTOCK, GA 30189 (678) 250-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811272693, enumerated in the NPI registry as an "organization" on October 12, 2011
The provider is located at 120 Stonebridge Pkwy Suite 110 Woodstock, Ga 30189 and the phone number is (678) 324-4400
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1082317 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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