ATLANTA HEART SPECIALISTS LLC – Cardiovascular Disease Physician, NPI 1891881827

ATLANTA HEART SPECIALISTS LLC is a healthcare provider. based in Tucker, Georgia. specializing in Cardiovascular Disease Physician. The NPI Number for ATLANTA HEART SPECIALISTS LLC is 1891881827

Main info

Organization
Name
ATLANTA HEART SPECIALISTS LLC
NPI
1891881827
Phone
(770) 638-1400
Address
1468 MONTREAL RD
Authorized Official
DAVID SONG OWNER MD
Enumeration Date
5 October 2006
Last Update Date
8 September 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ATLANTA HEART SPECIALISTS LLC

  • 1468, Montreal Road, Tucker, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300846901

    Phone: (770) 638-1400

    Fax: (770) 638-1411

    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: 2004-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20040826000416OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 30084)

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Reviews

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Frequently asked questions

Can I use this page to confirm ATLANTA HEART SPECIALISTS LLC's NPI?
Yes. ATLANTA HEART SPECIALISTS LLC is listed with NPI 1891881827 in the public NPI dataset.
Is ATLANTA HEART SPECIALISTS LLC listed as active for patients and plans?
The listing shows ATLANTA HEART SPECIALISTS LLC as active in the NPI system.
What is ATLANTA HEART SPECIALISTS LLC's primary classification?
Cardiovascular Disease Physician is the headline specialty for ATLANTA HEART SPECIALISTS LLC here. Clinical services aligned with this taxonomy classification.
What address line appears for ATLANTA HEART SPECIALISTS LLC?
ATLANTA HEART SPECIALISTS LLC's geographic hint is Tucker, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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