Individual provider Active NPI

Juriaan Martijn Van Der Heijden, PA

  • Physician Assistant
  • Covington, GA
National Provider Identifier
1013909159
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4485 Issued in GA
Practice address
5303 Adams St NE Ste a
Covington, GA 30014-6209
Phone
(770) 554-5009
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4485 GA Primary

Addresses

Primary practice location

5303 Adams St NE Ste a
Covington, GA 30014-6209

Mailing address

1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887

Other identifiers 1

IdentifierTypeStateIssuer
12746623OtherCAQH NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000746 GA Practitioner - Physician Assistant 6204881105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Orthopedic Clinic, PAGroup PAC ID 5991600181, 70 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

5303 Adams St NE
Suite a
Covington, GA 30014-6209
Phone (770) 554-5009

9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339

Hospital & facility affiliations

  • Jasper Memorial Hospital Hospital, Monticello, GA, CCN 111303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Orthopedic Clinic, PA CurrentSince Oct 1, 2014 Accepting new patients
Athens Orthopedic Clinic, PA CurrentSince Oct 1, 2014 Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients

Locations

1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881

1765 Old West Broad St
Bldg 2-200
Athens, GA 30606
Phone (706) 433-4088

125 King Ave
Athens, GA 30606

1765 Old West Broad St
Bldg 2
Athens, GA 30606
Phone (706) 548-2060

1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088

5303 Adams St NE
Ste A
Covington, GA 30014
Phone (770) 554-5009

1031 Lake Country Dr
Greensboro, GA 30642

3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009

1680A Eatonton Rd
Madison, GA 30650
Phone (404) 282-5600

705 Breedlove Dr
Ste 200
Monroe, GA 30655
Phone (770) 207-5738

Interoperability endpoints

  • Direct secure messaging: jvanderheijden@aoc1036.srs-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1013909159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 ADAMS ST NE STE A",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146209",
            "telephone_number": "770-554-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER HEIJDEN",
        "first_name": "JURIAAN",
        "middle_name": "MARTIJN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "12746623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.