Active NPI
Douglas P Hein, MD
- Orthopaedic Surgery Physician
- Jesup, GA
National Provider Identifier
1013026244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25763
- Practice address
- 330 Peachtree St
Suite 2
Jesup, GA 31545-0244 - Phone
- (912) 427-6915
- Fax
- (912) 427-4455
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25763 | GA | Primary |
Addresses
Primary practice location
330 Peachtree St
Suite 2
Jesup, GA 31545-0244
Mailing address
320 Peachtree St
Jesup, GA 31545-0244
Phone (912) 427-7790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00275569A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000719 | GA | Practitioner - Orthopedic Surgery | 5496916777 | Practice locations: Jesup, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25763 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJC Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Savannah, GA
- NPI 1811233828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1013026244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PEACHTREE ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450244",
"telephone_number": "912-427-7790",
"fax_number": "912-427-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 PEACHTREE ST",
"address_2": "SUITE 2",
"city": "JESUP",
"state": "GA",
"postal_code": "315450244",
"telephone_number": "912-427-6915",
"fax_number": "912-427-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "DOUGLAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "25763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00275569A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
- Jishaun Emmanuel Harris, PHARM D., RPH
- Danna Metts Harvey, PHARMD
- Maggie Poppell Hayes, FNP-C
- Headley Family Medicine, LLC
- Hearts of Compassion Home Care Agency, Inc.
- Sydney Lance Hendrix, M.D.
- Brandi Jo Higgins, APRN, FNP-C, FNP-BC
- Remley Highsmith, PHARMD
- William C Hillis, RPH
- Magan Ogden Hillyard, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.