Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellstar Cardiovascular Medicine, LLC

Organization Cardiovascular Disease Physician · NPI 1639454408

Wellstar Cardiovascular Medicine, LLC is a Cardiovascular Disease Physician in Jasper, Georgia. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Sammy McGhee Blvd Ste 202
Jasper, GA 30143-7711
Phone: (770) 704-1955
Fax: (770) 720-2388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1639454408
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Health System, Inc
Authorized official Barry Mangel — Chief Cardiology Officer · (770) 424-6893
NPI enumeratedOctober 12, 2011
Last updated in NPPESMay 9, 2012
Mailing address55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155

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