Active NPI
Vernisha Hearn, M.D.
- Internal Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 86429
- Practice address
- 141 Lacy St NW Ste 100
Marietta, GA 30060-1117 - Phone
- (770) 442-1911
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 86429 | GA | Primary |
Addresses
Primary practice location
141 Lacy St NW Ste 100
Marietta, GA 30060-1117
Mailing address
3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005-4414
Phone (770) 442-1911
Other practice location 1
3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438
Phone (770) 442-1911
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Lacy St NW
Suite 100
Marietta, GA 30060-1117
Phone (770) 442-1911
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Northside Hospital
- Northside Hospital Cherokee
- Wellstar Paulding Medical Center
- Wellstar Windy Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Medical Group, P.C. | Current | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 270
Alpharetta, GA 30005
Phone 7704421911262
3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233
1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350
141 Lacy St NW
Ste 100
Marietta, GA 30060
Phone (770) 615-1350
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIJIBA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1093249807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE C270",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054414",
"telephone_number": "770-442-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 LACY ST NW STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601117",
"telephone_number": "770-442-1911"
}
],
"practiceLocations": [
{
"address_1": "3400C Old Milton Pkwy Ste 270",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054438",
"country_code": "US",
"telephone_number": "770-442-1911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEARN",
"first_name": "VERNISHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "86429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.