| Athens Heart Center, PC | |
|
2005 Prince Ave Athens GA 30606-6032 | |
| (706) 208-9700 | |
| Not Available |
| Full Name | Athens Heart Center, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2005 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | Subodh K Agrawal (EMPLOYEE) |
| Authorized Official Contact | 7062089700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Heart Center, PC 2005 Prince Ave Athens GA 30606-6032 Ph: (706) 208-9700 | Athens Heart Center, PC 2005 Prince Ave Athens GA 30606-6032 Ph: (706) 208-9700 |
| NPI Number | 1447338744 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Medicare PECOS PAC ID | 0244134583 |
|---|---|
| Medicare Enrollment ID | O20031120000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447338744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Secondary |
| Provider Name | James E Chambers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760425789 PECOS PAC ID: 2961306691 Enrollment ID: I20040517001082 |
| Provider Name | William Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124006200 PECOS PAC ID: 4587633409 Enrollment ID: I20040928000714 |
| Provider Name | Nicole R Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588642771 PECOS PAC ID: 8123097052 Enrollment ID: I20040928000793 |
| Provider Name | Subodh K Agrawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366443640 PECOS PAC ID: 6507760840 Enrollment ID: I20050202000420 |
| Provider Name | Christopher J Leggett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811904014 PECOS PAC ID: 7214978956 Enrollment ID: I20050512000753 |
| Provider Name | Bantwal S Baliga |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992847669 PECOS PAC ID: 9638152911 Enrollment ID: I20050921000742 |
| Provider Name | Aurelio D Manto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982686846 PECOS PAC ID: 0143115147 Enrollment ID: I20091230000673 |
| Provider Name | Andrew Monroe Cross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679535975 PECOS PAC ID: 9032120415 Enrollment ID: I20131112000159 |
| Provider Name | Isik Turker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003075763 PECOS PAC ID: 9335376565 Enrollment ID: I20131216000465 |
| Provider Name | Margaret Naa Odua Doku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437503679 PECOS PAC ID: 7416221940 Enrollment ID: I20170922000843 |
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