Active NPI
Alexander Heckman, PA-C
- Physician Assistant
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007805
- 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, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003174364G | Medicaid | GA | |
| 003174364F | Medicaid | GA | |
| 003174364E | 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: No
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA20597 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1477929206
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
dba Adventist Health St. Helena
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.