www.pacecvi.com
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https://www.pacecvi.com/
Submission: On September 06 via manual from US
Submission: On September 06 via manual from US
Form analysis
2 forms found in the DOMPOST https://legacy.patientpop.com/widgets/bookonline/template/d6630b15e0c40ba3378de03ec94b17ae9237803d
<form method="POST" action="https://legacy.patientpop.com/widgets/bookonline/template/d6630b15e0c40ba3378de03ec94b17ae9237803d" accept-charset="UTF-8" id="patient-form" data-toggle="validator" role="form"><input name="_token" type="hidden"
value="ynFO4dgzfvCkJuQaPLtRm23CZH78Lva5tlBRsmjc">
<div class="modal-body">
<input name="calendar_id" type="hidden" value="">
<input id="block-id" name="calendar_block_id" type="hidden" value="">
<input name="doctor_id" type="hidden" value="">
<input name="location_id" type="hidden" value="">
<div class="left">
<fieldset id="telehealth-section-1" class="fieldset-group">
<legend class="label" id="telehealth-label"> Visit Type </legend>
<ul>
<li><input id="telehealth-no" name="is_telehealth" type="radio" value="no">
<label for="telehealth-no">In-person</label>
</li>
<li><input id="telehealth-yes" name="is_telehealth" type="radio" value="yes">
<label for="telehealth-yes">Virtual Visit</label>
</li>
</ul>
</fieldset>
<fieldset id="newpatient-section-1" class="fieldset-group">
<legend class="label" id="newpatient-label">New Patient?</legend>
<ul>
<li><input id="new-patient-yes" name="newpatient" type="radio" value="yes">
<label for="new-patient-yes">Yes</label>
</li>
<li><input id="new-patient-no" name="newpatient" type="radio" value="no">
<label for="new-patient-no">No</label>
</li>
</ul>
</fieldset>
<div id="reason-section-1">
<label class="label reason-label" for="reason-appointment-section-1">Reason</label>
<input class="txt-input" placeholder="e.g. annual checkup, follow-up, ..." maxlength="150" name="reason" type="text" value="">
<select class="txt-input" aria-label="Reason" name="reason"></select>
</div>
<div id="reason_for_visit_details-section-1">
<label class="label" for="reason_for_visit_details-label">Reason for Visit Details</label>
<textarea class="txtarea-input" placeholder="Describe the reason for your visit. Also include anything else we should know." maxlength="4096" rows="4" id="reason_for_visit_details-label" name="reason_for_visit_details" cols="50"></textarea>
</div>
<div id="name-section-1">
<div class="label" id="section-1-name-label">Name</div>
<input class="txt-input inline-input" placeholder="First" aria-label="First Name" name="firstname" type="text" value="">
<input class="txt-input inline-input" placeholder="Last" aria-label="Last Name" name="lastname" type="text" value="">
</div>
<div id="email-section-1">
<label class="label" for="section-1-email">Email address</label>
<input class="txt-input" aria-label="Email Address" id="section-1-email" name="email" type="email" value="">
</div>
<div id="phone-section-1">
<label class="label" for="section-1-phone">Mobile Phone Number</label>
<input class="txt-input appointment-phone" aria-label="Mobile Phone Number" id="section-1-phone" name="phone" type="tel" value="">
</div>
<div id="date_of_birth-section-1">
<div class="label" id="section-1-date_of_birth-label">Date of Birth</div>
<ul>
<li>
<label class="label dob-label" for="dob-month">Month</label>
<input type="tel" id="dob-month" placeholder="MM" class="txt-input dob-input" maxlength="2" aria-describedby="section-1-date_of_birth-label">
</li>
<li>
<label class="label dob-label" for="dob-day">Day</label>
<input type="tel" id="dob-day" placeholder="DD" class="txt-input dob-input" maxlength="2" aria-describedby="section-1-date_of_birth-label">
</li>
<li>
<label class="label dob-label" for="dob-year">Year</label>
<input type="tel" id="dob-year" placeholder="YYYY" class="txt-input dob-input dob-input__year" maxlength="4" aria-describedby="section-1-date_of_birth-label">
</li>
</ul>
<input class="txt-input" maxlength="10" name="date_of_birth" type="hidden" value="">
</div>
<fieldset id="age_verification-section-1" class="age-verify fieldset-group">
<legend class="label" id="age_verification-label">Are you the patient?</legend>
<ul>
<li><input id="age_verification-yes" name="age_verification" type="radio" value="yes">
<label for="age_verification-yes">Yes</label>
</li>
<li><input id="age_verification-no" name="age_verification" type="radio" value="no">
<label for="age_verification-no">No</label>
</li>
</ul>
</fieldset>
<div id="last_4_ssn-section-1">
<label class="label" for="last_4_ssn-label">Last 4 SSN</label>
<input class="txt-input inline-input" placeholder="" maxlength="4" id="last_4_ssn-label" name="last_4_ssn" type="text" value="">
</div>
<div id="sex-section-1">
<label class="label" for="section-1-sex">Gender</label>
<select class="txt-input" id="section-1-sex" name="sex">
<option value="" selected="selected">- Select One -</option>
<option value="undisclosed">Do not wish to disclose</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
</div>
<div id="insurance_provider_id-section-1">
<label class="label add-insurance-dropdown" for="section-1-insurance_provider">Insurance</label>
<select class="txt-input add-info-insurance-select-dropdown" id="section-1-insurance_provider" name="insurance_provider_id" style="display: none;"></select>
<div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 250px;" title="" id="section_1_insurance_provider_chosen">
<a class="chosen-single chosen-default" tabindex="-1"><span>Select an Option</span><div><b></b></div></a>
<div class="chosen-drop">
<div class="chosen-search"><input type="text" autocomplete="off" readonly=""></div>
<ul class="chosen-results"></ul>
</div>
</div>
</div>
<div id="insurance_id_number-section-1">
<label class="label hide insurance-selected" for="section-1-insurance_id_number">Insurance ID #</label>
<input class="txt-input hide insurance-selected" id="section-1-insurance_id_number" name="insurance_id_number" type="text" value="">
</div>
<div id="insurance_group_number-section-1">
<label class="label hide insurance-selected" for="section-1-insurance_group_number">Insurance Group #</label>
<input class="txt-input hide insurance-selected" id="section-1-insurance_group_number" name="insurance_group_number" type="text" value="">
</div>
<div id="insurance_phone-section-1">
<label class="label hide insurance-selected" for="section-1-insurance_phone">Insurance Phone #</label>
<input class="txt-input hide insurance-selected appointment-insurance-phone-number" id="section-1-insurance_phone" name="insurance_phone" type="text" value="">
</div>
</div>
<div class="right">
<div id="calendar-block">
<button class="schedule-prev secondary-fg" type="button"><i class="fa fa-chevron-circle-left fa-2x"></i></button>
<div id="grid-block"></div>
<button class="schedule-next secondary-fg" type="button"><i class="fa fa-chevron-circle-right fa-2x"></i></button>
</div>
<div id="calendar-block-select-newpatient">
<i class="fa fa-arrow-left"></i> Please select whether you are a new or existing patient.
</div>
<div id="calendar-block-select-reason">
<i class="fa fa-arrow-left"></i> Please select an appointment reason.
</div>
<div id="calendar-block-loading">
<i class="fa fa-cog fa-spin"></i> Loading calendar ...
</div>
<div id="calendar-select">
<label class="label" for="calendar-time">Date - Time</label>
<select id="calendar-time" class="form-control"></select>
</div>
<div id="terms_confirm">
<input type="checkbox" id="terms_checkbox">
<label for="terms_checkbox"> I have read and agreed to the <a href="/your-privacy" target="_blank">Privacy Policy</a> and <a href="/our-terms" target="_blank">Terms of Use </a> and I am at least 18 and have the authority to make this
appointment. </label>
</div>
<div id="sms_terms_confirm" style="display: block;">
<label for="agree-sms-terms">
<input id="agree-sms-terms" name="agree_sms_terms" type="checkbox" value="yes"> I agree to receive text messages for feedback requests. </label>
</div>
</div>
<div class="clear-both"></div>
<div class="book-online-message"></div>
</div>
<div class="modal-footer">
<button class="btn-cancel" type="button" data-dismiss="modal">Cancel</button>
<button class="btn-book-now primary-bg primary-border" type="button">Book Now</button>
</div>
</form>
POST https://legacy.patientpop.com/widgets/appointment/update
<form method="POST" action="https://legacy.patientpop.com/widgets/appointment/update" accept-charset="UTF-8" id="patient-additional-info-form" data-toggle="validator" role="form"><input name="_token" type="hidden"
value="ynFO4dgzfvCkJuQaPLtRm23CZH78Lva5tlBRsmjc">
<div class="modal-body">
<p class="type-wrapper" id="bookedAppointmentMessage">Thank you for your appointment request. We will contact you shortly to confirm your request.<br>Please call our office <span class="apt-conf-phone">at </span> if you have any questions.</p>
<span class="apt-conf-formlinks apt-conf-formlinks1"></span>
<h4 id="additionalInfoHeading">Additional Information</h4>
<input name="id" type="hidden" value="">
<div class="left">
<div id="name-section-2">
<div class="label" id="section-2-name-label">Name</div>
<input class="txt-input inline-input" placeholder="First" aria-label="First Name" name="firstname" type="text" value="">
<input class="txt-input inline-input" placeholder="Last" aria-label="Last Name" name="lastname" type="text" value="">
</div>
<div id="email-section-2">
<label class="label" for="section-2-email">Email address</label>
<input class="txt-input" id="section-2-email" name="email" type="email" value="">
</div>
<div id="phone-section-2">
<label class="label" for="section-2-phone">Mobile Phone Number</label>
<input class="txt-input appointment-phone" id="section-2-phone" name="phone" type="tel" value="">
</div>
<div id="reason-section-2">
<label class="label reason-label" for="reason-appointment-section-2">Reason</label>
<input class="txt-input" placeholder="e.g. annual checkup, follow-up, ..." maxlength="150" name="reason" type="text" value="">
<select class="txt-input" aria-label="Reason" name="reason"></select>
</div>
<div id="date_of_birth-section-2">
<label class="label" for="section-2-date_of_birth">Date of Birth</label>
<input class="txt-input" placeholder="mm/dd/yyyy" maxlength="10" id="section-2-date_of_birth" name="date_of_birth" type="text" value="">
</div>
<div id="sex-section-2">
<label class="label" for="section-2-sex">Gender</label>
<select class="txt-input" id="section-2-sex" name="sex">
<option value="" selected="selected">- Select One -</option>
<option value="undisclosed">Do not wish to disclose</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
</div>
<div id="insurance_provider_id-section-2">
<label class="label add-insurance-dropdown" for="section-2-insurance_provider">Insurance</label>
<select class="txt-input add-info-insurance-select-dropdown" id="section-2-insurance_provider" name="insurance_provider_id" style="display: none;"></select>
<div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 250px;" title="" id="section_2_insurance_provider_chosen">
<a class="chosen-single chosen-default" tabindex="-1"><span>Select an Option</span><div><b></b></div></a>
<div class="chosen-drop">
<div class="chosen-search"><input type="text" autocomplete="off" readonly=""></div>
<ul class="chosen-results"></ul>
</div>
</div>
</div>
<div id="insurance_id_number-section-2">
<label class="label hide insurance-selected" for="section-2-insurance_id_number">Insurance ID #</label>
<input class="txt-input hide insurance-selected" id="section-2-insurance_id_number" name="insurance_id_number" type="text" value="">
</div>
<div id="insurance_group_number-section-2">
<label class="label hide insurance-selected" for="section-2-insurance_group_number">Insurance Group #</label>
<input class="txt-input hide insurance-selected" id="section-2-insurance_group_number" name="insurance_group_number" type="text" value="">
</div>
<div id="insurance_phone-section-2">
<label class="label hide insurance-selected" for="section-2-insurance_phone">Insurance Phone #</label>
<input class="txt-input hide insurance-selected appointment-insurance-phone-number" id="section-2-insurance_phone" name="insurance_phone" type="text" value="">
</div>
<div id="referral_source_select-section-2">
<label class="label hide referral-dropdown" for="section-2-referral_source">How did you hear about us?</label>
<select class="txt-input referral-dropdown hide" id="section-2-referral_source" name="referral_source">
<option value="" selected="selected">- Select One -</option>
<option value="referral - insurance">Insurance provider</option>
<option value="online - search">Online search e.g. Google, Bing</option>
<option value="online - reviews">Online review site e.g. Yelp, Healthgrades</option>
<option value="referral - provider">Referral from healthcare provider</option>
<option value="referral - friend/colleague">Referral from friend/colleague</option>
<option value="local ad">Local advertisement</option>
<option value="other">Other</option>
</select>
</div>
</div>
<div class="right">
<div id="comment-section-2">
<label class="label" for="comment">Comment</label>
<textarea class="txtarea-input" placeholder="Is there anything you would like us to know before your appointment?" maxlength="250" rows="4" id="comment" name="comment" cols="50"></textarea>
</div>
</div>
<div class="clear-both"></div>
</div>
<div class="modal-footer">
<button class="btn-skip" type="button" data-dismiss="modal">Skip</button>
<button class="btn-book-additional-submit primary-bg primary-border" type="button">Submit</button>
</div>
</form>
Text Content
We offer Telemedicine! Click here to schedule your appointment.. More * Home * About * About Practice * Providers * Services * Cardiac * Cardiac Imaging * Heart Failure * Chest Pain * Palpitations * Coronary Artery Disease * Stress Test * Vascular * Peripheral Arterial Disease * Diabetes * Critical Limb Ischemia * Minimally Invasive Endovascular Procedures * Vein Care * Vascular Imaging * Vascular Disease * Vein * Blog * Testimonials * Contact * Call Us * Book Appointment * Home * About * About Practice * Providers * Services * Cardiac * Cardiac Imaging * Heart Failure * Chest Pain * Palpitations * Coronary Artery Disease * Stress Test * Vascular * Peripheral Arterial Disease * Diabetes * Critical Limb Ischemia * Minimally Invasive Endovascular Procedures * Vein Care * Vascular Imaging * Vascular Disease * Vein * Blog * Testimonials * Contact * Call Us * Book Appointment * Home * About * About Practice * Providers * Services * Cardiac * Cardiac Imaging * Heart Failure * Chest Pain * Palpitations * Coronary Artery Disease * Stress Test * Vascular * Peripheral Arterial Disease * Diabetes * Critical Limb Ischemia * Minimally Invasive Endovascular Procedures * Vein Care * Vascular Imaging * Vascular Disease * Vein * Blog * Testimonials * Contact * Call Us * Book Appointment * Heart & Vascular Center of Excellence Call Us Book Appointment * Minimally Invasive Endovascular Procedures Dedicated to comprehensive limb salvage and amputation prevention Call Us Book Appointment * Comprehensive CardioVascular Care Keeping up the PACE takes a Healthy heart and Vascular circulation Call Us Book Appointment * Partnered with Ornish Lifestyle Medicine Dedicated for reversal of Heart Disease and Diabetes Call Us Book Appointment * State of Art Equipment Advanced treatments with the latest and safest technology Call Us Book Appointment * Experienced Physicians, Exceptional Results Call Us Book Appointment 1. 2. 3. 4. 5. 6. * 1. "Dr. Odiete is wonderful! His manner is impeccable! I like him tremendously and trust him" 2. Lana B. Google * 1. "Finding a great cardiologist is hard, but this find was easy." 2. Nevaeh S. Google * 1. "He saved my life. I appreciate all he has done for me" 2. James and Kathy C. Google * 1. "Dr. Odiete is wonderful! His manner is impeccable! I like him tremendously and trust him" 2. Lana B. Google * 1. "Finding a great cardiologist is hard, but this find was easy." 2. Nevaeh S. Google * * Our Mission -------------------------------------------------------------------------------- The goal of Peachstate Advanced Cardiac and Endovascular (PACE), a Center for Heart and Amputation Prevention (CHAMP), is to create public awareness on cardiovascular disease with focus on lower limbs, non-traumatic amputations related to vascular disease, like Peripheral Arterial Disease (PAD). We want to encourage proactive evaluation, screening and minimally invasive, nonsurgical treatment options. Early detection means patients can be treated earlier in the process while nonsurgical treatments are still an option. This will lead to limb preservation; decrease hospital admissions with more patient access to office based procedures and thus better quality of life. STORY OF BUSINESS ODIETE, O. MD: PEACHSTATE ADVANCED CARDIAC & ENDOVASCULAR (PACE): GET TO KNOW Telemedicine We are pleased to offer Telemedicine during this time. Book today using the link below or call our office for more information. BOOK TODAY PEACHSTATE ADVANCED CARDIAC & ENDOVASCULAR BOARD CERTIFIED INTERVENTIONAL CARDIOLOGIST & ENDOVASCULAR SPECIALIST LOCATED IN ATLANTA, GA, GRIFFIN, GA & NEWNAN, GA The goal of board-certified interventional and endovascular cardiologist Oghenerukevwe Odiete, MD, FACC, and the team at Peachstate Advanced Cardiac and Endovascular (PACE), is to provide high-quality cardiovascular medicine to residents of Atlanta, Georgia, Griffin, Georgia, Newnan, Georgia, and the greater Coweta County area. At PACE, a Center for Heart and Amputation Prevention (CHAMP), the team works to create public awareness on cardiovascular disease with a focus on treating the lower limbs and preventing non-traumatic amputations related to vascular disease. The team encourages proactive evaluation and screening, as well as minimally invasive and non-surgical care options. Early detection of cardiovascular and vascular disease means more effective treatments and a lower risk of potential complications. This leads to limb preservation, a decrease in hospital admissions, easier access to office-based procedures, and in turn, a better quality of life. At PACE, the team diagnoses and treats a wide variety of heart and vein-related health problems, including coronary artery disease, peripheral arterial disease, heart palpitations, chest pain, heart failure, and critical limb ischemia. Patients can also access preventive screening measures, such as cardiac imaging, and diabetes management. To access the best, most comprehensive cardiovascular and vascular care, partner with the team at Peachstate Advanced Cardiac and Endovascular. Request an appointment today by calling the office or clicking the online booking tool. Read more * * × ABOUT PACE * * * * The goal of board-certified interventional and endovascular cardiologist Oghenerukevwe Odiete, MD, FACC, and the team at Peachstate Advanced Cardiac and Endovascular (PACE), is to provide high-quality cardiovascular medicine to residents of Atlanta, Georgia, Griffin, Georgia, Newnan, Georgia, and the greater Coweta County area. At PACE, a Center for Heart and Amputation Prevention (CHAMP), the team works to create public awareness on cardiovascular disease with a focus on treating the lower limbs and preventing non-traumatic amputations related to vascular disease. The team encourages proactive evaluation and screening, as well as minimally invasive and non-surgical care options. Early detection of cardiovascular and vascular disease means more effective treatments and a lower risk of potential complications. This leads to limb preservation, a decrease in hospital admissions, easier access to office-based procedures, and in turn, a better quality of life. At PACE, the team diagnoses and treats a wide variety of heart and vein-related health problems, including coronary artery disease, peripheral arterial disease, heart palpitations, chest pain, heart failure, and critical limb ischemia. Patients can also access preventive screening measures, such as cardiac imaging, and diabetes management. To access the best, most comprehensive cardiovascular and vascular care, partner with the team at Peachstate Advanced Cardiac and Endovascular. Request an appointment today by calling the office or clicking the online booking tool. Read less Cardiac Diagnosis and Services Read More Vascular Diagnosis and Services Read More Vein Diagnosis and Services Read More ACCEPTED INSURANCE View full list of companies × NETWORK INSURANCES * Aetna * Alliant Health Plans * Amerigroup * Amerigroup * BCBS * CareSource * Cigna * Cigna Health Spring * Coventry * Crescent * Galaxy Health Network * Humana * Kaiser Permanente * Lifewell * Medicaid * Medicare * Multiplan * NovaNet * Peachstate * RR Medicare * Three Rivers * Tricare * UHC * WellCare Come see Dr. Oghenerukevwe Odiete, MD. Board Certified Interventional Cardiologist & Board Certified Cardiologist located in Newnan, GA. LEARN MORE Read more Read less * Slow-healing wounds and how they can predict your vascular health You're going about your regular routine, cleaning the home and getting ready to meet up with a friend later in the day, when you notice a nagging discomfort in your calves once more. What is happening to my toenails? It's natural to discover that your hair and nails aren't growing as rapidly as they once were as you become older. Depression and leg pain are linked According to a study done by the National Center for Health Statistics, nearly one out of every ten males suffers from depressive symptoms, with fewer than half wanting to seek treatment. Testimonials WORDS FROM OUR PATIENTS * "Dr. Odiete, how do I thank you. You saved my wife's life. You are truly blessed... If not for you she would be gone. There is a special place in heaven for you." Edward L. * "The doctor was very pleasant and knowledgeable about my history. He instilled great confidence in me and I look forward to future visits." Jack J. * "A cardiologist that reviews your history, explains in detail the medical plan and was actually concerned about other medical issues I had." Navaeh S. * "Dr. Odiete, how do I thank you. You saved my wife's life. You are truly blessed... If not for you she would be gone. There is a special place in heaven for you." Edward L. * "The doctor was very pleasant and knowledgeable about my history. He instilled great confidence in me and I look forward to future visits." Jack J. 1. 1 2. 2 3. 3 * * Our Locations CHOOSE YOUR PREFERRED LOCATION 1825 Highway 34 E STE 3400, Newnan, GA 30265 770-799-6392 Book Appointment 285 Boulevard NE Suite 535, Atlanta, GA 30312 770-464-6712 Book Appointment 601 S 8th St Suite 301/303, Griffin, GA 30224 770-464-6716 Book Appointment facebook youtube * * Privacy Policy * Terms & Conditions * Accessibility Notice * Contact Us Peachstate Advanced Cardiac & Endovascular, Newnan, GA Phone (appointments): 770-799-6392 | Phone (general inquiries): 770-400-9588 Address: 1825 Highway 34 E, STE 3400, Newnan, GA 30265 Peachstate Advanced Cardiac & Endovascular, Atlanta, GA Phone (appointments): 770-464-6712 | Phone (general inquiries): 7704009588 Address: 285 Boulevard NE, Suite 535, Atlanta, GA 30312 Peachstate Advanced Cardiac & Endovascular, Griffin, GA Phone (appointments): 770-464-6716 | Phone (general inquiries): 7704009588 Address: 601 S 8th St, Suite 301/303, Griffin, GA 30224 * 4.94/5 * (36 reviews) × EMAIL OPT-OUT × SMS OPT-IN × APPOINTMENT CONFIRMED Sorry, an error occurred. close × × CALENDAR Loading calendar. Please wait. DOCTOR LASTNAME Specialties select LOCNAME LOCADDRESS SELECT Visit Type * In-person * Virtual Visit New Patient? * Yes * No Reason Reason for Visit Details Name Email address Mobile Phone Number Date of Birth * Month * Day * Year Are you the patient? * Yes * No Last 4 SSN Gender - Select One -Do not wish to discloseMaleFemaleOther Insurance Select an Option Insurance ID # Insurance Group # Insurance Phone # Please select whether you are a new or existing patient. Please select an appointment reason. Loading calendar ... Date - Time I have read and agreed to the Privacy Policy and Terms of Use and I am at least 18 and have the authority to make this appointment. I agree to receive text messages for feedback requests. Cancel Book Now × APPOINTMENT REQUESTED Thank you for your appointment request. We will contact you shortly to confirm your request. Please call our office at if you have any questions. ADDITIONAL INFORMATION Name Email address Mobile Phone Number Reason Date of Birth Gender - Select One -Do not wish to discloseMaleFemaleOther Insurance Select an Option Insurance ID # Insurance Group # Insurance Phone # How did you hear about us? - Select One -Insurance providerOnline search e.g. Google, BingOnline review site e.g. Yelp, HealthgradesReferral from healthcare providerReferral from friend/colleagueLocal advertisementOther Comment Skip Submit × THANK YOU Thank you for your appointment request. We will contact you shortly to confirm your request. Please call our office at if you have any questions. × PLEASE CALL OUR OFFICE We unfortunately can't schedule this type of appointment online. Please call our office at to make your appointment. × TITLE Cancel Book Online