Central Georgia Heart Center – Cardiovascular Disease Physician, NPI 1780779363

Central Georgia Heart Center is a healthcare provider. based in Macon, Georgia. specializing in Cardiovascular Disease Physician. The NPI Number for Central Georgia Heart Center is 1780779363

Main info

Organization
Name
Central Georgia Heart Center
NPI
1780779363
Phone
(478) 741-1208
Address
1062 FORSYTH ST., SUITE 1B
Authorized Official
MR. MARK EDWARD DOROGY PRESIDENT MD
Enumeration Date
3 October 2006
Last Update Date
29 May 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Central Georgia Heart Center

  • 1062 FORSYTH ST., SUITE 1B

    MACON, GA 31201

    Phone: (478) 741-1208

    Fax: (478) 741-1557

    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: 2004-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (832 days ago).

Enrollment records

1

Earliest due date

2024-02-29

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
O20040505000220OClinic/Group PracticeGA2024-02-29

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 31201)

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Reviews

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Frequently asked questions

What number should I use to identify Central Georgia Heart Center for billing?
Administrative and clinical systems typically use NPI 1780779363 for Central Georgia Heart Center.
Should I treat Central Georgia Heart Center as an active provider?
Patients and plans typically see Central Georgia Heart Center as active in the national extract.
What services align with Central Georgia Heart Center's listing?
Central Georgia Heart Center's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Central Georgia Heart Center?
The directory associates Central Georgia Heart Center with Macon, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains Central Georgia Heart Center's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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