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

Alexander T Gedevanishvili, MD

Individual provider Cardiovascular Disease Physician · NPI 1578558714

Alexander T Gedevanishvili, MD is a Cardiovascular Disease (Cardiology) in Lagrange, Georgia. Qualified in 1988, 38 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
38
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1602 Vernon Rd Ste 300
Lagrange, GA 30240
Phone: (706) 242-5100
Fax: (706) 812-2454
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1551 Doctors Dr, Lagrange, GA 30240-4139 — (706) 884-2641
  • 1551 Doctors Dr, Lagrange, GA 30240-4139 — (706) 884-2641

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 054099 (GA)

Record details

NPI number1578558714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESNovember 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE, NUCLEAR MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Lagrange