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NPI Code Detail

MEDICARE: JOHN'S HEART LLC

MEDICARE: JOHN'S HEART LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1649139304
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN'S HEART LLC
Provider Business Mailing Address
First Line : 11680 GREAT OAKS WAY STE 170
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2483
Country : US
Telephone Number : 866-314-3278
Fax Number :
Provider Business Practice Location Address
First Line : 11680 GREAT OAKS WAY STE 170
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2483
Country : US
Telephone Number : 866-341-4327
Fax Number :
Authorized Official
Title or Position : CEO
Name : ISLAM MUHAMMAD
Credential :
Telephone Number : 866-314-4327
Provider Enumeration Date : 01/19/2026
Last Update Date : 02/11/2026

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Directions to “JOHN'S HEART LLC ” Practice Location

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