Individual provider Active NPI

Teki Susan Hegwood, M.D.

  • Gynecology Physician
  • Fort Stewart, GA
National Provider Identifier
1013001627
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
064386 Issued in GA
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-4641
Phone
(912) 435-6965
NPI assigned
Oct 3, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 31062 AL
Gynecology Physician 207VG0400X 064386 GA Primary

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-4641

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-4641
Phone (912) 435-6965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111108000761 AL Practitioner - Obstetrics/Gynecology 2860456746 Reassigns benefits to 1 organization
I20160330001138 GA Practitioner - Obstetrics/Gynecology 2860456746 Reassigns benefits to 4 organizations
I20220426001990 TX Practitioner - Obstetrics/Gynecology 2860456746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31062ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Jan 20, 2022 Accepting new patients
Obstetrics & Gynecology of Dothan Inc CurrentSince Jul 1, 2013 Accepting new patients
DHP of Piedmont PC CurrentSince Aug 31, 2022 Accepting new patients
DHP of Georgia PC CurrentSince Dec 1, 2023 Accepting new patients
Obhg Georgia, P.C. CurrentSince Jan 24, 2023 Accepting new patients
OB GYN Associates of the Central Coast Gynecology Past Accepting new patients
Hegwood Medical Group Professional Corporation PastSince Aug 1, 2004 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

1458 Whatley Dr
Dothan, AL 36303
Phone (334) 671-9445

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 576-8798

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: thegwood2913092@direct.trinity-health.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1013001627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313144641",
            "telephone_number": "912-435-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313144641",
            "telephone_number": "912-435-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGWOOD",
        "first_name": "TEKI",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "31062",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "064386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.