Active NPI
Juriaan Martijn Van Der Heijden, PA
- Physician Assistant
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4485
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12746623 | Other | CAQH 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Physiotherapy Associates Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Orthopedic Clinic, PA | Current | Accepting new patients | |
| Athens Orthopedic Clinic, PA | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Greensboro, GA
- NPI 1104219468
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.