OrganizationActive
Kennestone Heart Physicians Group
NPI 1003011776 · Cardiovascular Disease Physician · Blue Ridge, GA
Provider details
- NPI number
- 1003011776
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katie Doyle, Manager, Physician Services(678) 797-1113
- License
- 00058204 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Riverstone Vis
Suite 217
Blue Ridge, GA 30513-6648
Phone: (706) 632-8008
Fax: (706) 632-8070
Street-level locationGet directions
Mailing address
355 Tower Rd Ne
Marietta, GA 30060-9408
Registry dates
- Enumerated
- 2007-06-20
- Last updated
- 2009-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.