CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA – Specialist, NPI 1518902147

CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA is a healthcare provider. based in Statesboro, Georgia. specializing in Specialist. The organization holds a License No. 58253 (GA). The NPI Number for CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA is 1518902147

Main info

Organization
Name
CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA
NPI
1518902147
Phone
Not provided
Address
1497 FAIR RD
Authorized Official
AJAY JAIN PRESIDENT
Enumeration Date
18 June 2006
Last Update Date
13 February 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA

  • 1497, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States

    SUITE 305

    STATESBORO, GA 304580822

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (222 days ago).

Enrollment records

1

Earliest due date

2025-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20061023000386OClinic/Group PracticeGA2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30458)

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Reviews

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Frequently asked questions

Can I cross-check CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA using NPI 1518902147?
NPI 1518902147 belongs to CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA; compare other details if you need extra assurance.
Active or inactive — what applies to CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA?
You should see CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA as active in CMS-hosted NPPES data.
What clinical focus is listed for CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA?
At a glance, CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA is tied to Other Service Providers. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA?
Travel planning: use Statesboro, Georgia as the reference point for CARDIOVASCULAR ASSOCIATES OF EASTERN GEORGIA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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