Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

West Georgia Medical Center Inc

Organization Cardiovascular Disease Physician · NPI 1558592089

West Georgia Medical Center Inc provides Cardiovascular Disease Physician services in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1551 Doctors Dr Bldg 200
Lagrange, GA 30240-4139 Not confirmed with CMS for 16 years — call before visiting
Phone: (706) 884-2641
Fax: (706) 884-2353
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 057240 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 057240 (GA)

Record details

NPI number1558592089
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Georgia Medical Center, Inc
Authorized official Gerald Fulks — Pres / Ceo · (706) 882-1411
Other names Heart And Vascular Care Of Georgia
NPI enumeratedJuly 31, 2009
Last updated in NPPESOctober 13, 2009
Mailing addressPo Box 435, Lagrange, GA 30241-0008

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