Healthcare Provider Details

I. General information

NPI: 1295817278
Provider Name (Legal Business Name): CARDIAC DISEASE SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 PACES MILL RD SE
ATLANTA GA
30339-3744
US

IV. Provider business mailing address

275 COLLIER RD NW STE 300
ATLANTA GA
30309-1704
US

V. Phone/Fax

Practice location:
  • Phone: 770-437-4258
  • Fax: 770-805-8859
Mailing address:
  • Phone: 404-355-9815
  • Fax: 404-350-0529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HARVEY N SACKS
Title or Position: PRESIDENT
Credential: MD
Phone: 404-355-9815