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

Dr. Charles William Pettus, MD

Individual provider Cardiovascular Disease Physician · NPI 1912902107

Dr. Charles William Pettus, MD is a Cardiovascular Disease (Cardiology) in Fayetteville, Georgia. Graduated from Mercer University School of Medicine in 1989, 37 years ago. Practices with Piedmont Cardiology of Atlanta, LLC, a 479-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
37
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2114
Phone: (770) 716-0051
Fax: (770) 716-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 033675 (GA)

Record details

NPI number1912902107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESSeptember 13, 2010

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Piedmont Cardiology Of Atlanta, Llc — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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