Organization Active NPI

Heartline Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Peachtree City, GA
National Provider Identifier
1073090767
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEARTLINE MEDICAL, INC.
Practice address
6000 Shakerag HL Ste 100
Peachtree City, GA 30269-6523
Phone
(770) 391-3000
Fax
(770) 742-0356
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Hazel Seay
Title
Ceo/President
Phone
(770) 703-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6000 Shakerag HL Ste 100
Peachtree City, GA 30269-6523

Mailing address

PO Box 2096
Peachtree City, GA 30269-0096
Phone (770) 703-1085

National Provider Directory

National Provider Directory

Locations

6000 Shakerag Hl
Ste 100
Peachtree City, GA 30269
Phone (770) 391-3000

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1073090767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2096",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302690096",
            "telephone_number": "770-703-1085",
            "fax_number": "770-731-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL STE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "770-391-3000",
            "fax_number": "770-742-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLINE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-703-1085",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.