Individual provider Active NPI

Alexander Heckman, PA-C

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1033444930
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007805 Issued in GA
Practice address
1505 Northside Forsyth Dr
Ste 3500
Cumming, GA 30041
Phone
(770) 667-4337
Fax
(770) 667-4338
NPI assigned
Oct 9, 2009
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20597 CA
Physician Assistant 363A00000X 007805 GA Primary

Addresses

Primary practice location

1505 Northside Forsyth Dr
Ste 3500
Cumming, GA 30041

Mailing address

1505 Northside Forsyth Dr
Ste 3500
Cumming, GA 30041
Phone (770) 667-4337

Other identifiers 3

IdentifierTypeStateIssuer
003174364GMedicaidGA
003174364FMedicaidGA
003174364EMedicaidGA

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
I20160322002590 GA Practitioner - Physician Assistant 6507096708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians

Practice addresses (Care Compare)

2800 Buford Dr
Buford, GA 30519-5107
Phone (770) 292-6500

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

771 Old Norcross Rd
Suite 135
Lawrenceville, GA 30046-4978
Phone (770) 292-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.29 of 100Reported as group
Quality
67.84
Promoting interoperability
73
Improvement activities
40
Cost
85.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA20597CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Helena Hospital Past Accepting new patients

Organizations & group practices 3

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.

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1033444930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE FORSYTH DR",
            "address_2": "STE 3500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "770-667-4337",
            "fax_number": "770-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE FORSYTH DR",
            "address_2": "STE 3500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "770-667-4337",
            "fax_number": "770-667-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20597",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174364G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174364F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174364E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.