Individual provider Active NPI

Heather Williamson, NP-C

  • Family Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1104234723
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN135456 Issued in GA
Practice address
1909 N Columbia St Ste D
Milledgeville, GA 31061-2182
Phone
(478) 295-3000
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN135456 GA Primary

Addresses

Primary practice location

1909 N Columbia St Ste D
Milledgeville, GA 31061-2182

Mailing address

201 Lodestone Dr
Milledgeville, GA 31061-6865

Other identifiers 1

IdentifierTypeStateIssuer
1104234723MedicaidGA

Other names 1

  • Heather E Herring Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Milledgeville

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
I20160613000324 GA Practitioner - Nurse Practitioner 6800186347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Central Ga LLCGroup PAC ID 6901702059, 17 clinicians

Practice addresses (Care Compare)

6103 Rd St
Suite 202
Macon, GA 31201-3262
Phone (478) 464-2600

Hospital & facility affiliations

  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN135456GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Central Ga, LLC CurrentSince Jun 1, 2022 Accepting new patients
Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC Past Accepting new patients
Synergetic Healings LLC PastSince Jun 1, 2022 Accepting new patients

Locations

610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

610 3rd St
Macon, GA 31201

1215 N Columbia Dr
Milledgeville, GA 31061
Phone (478) 454-1977

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1104234723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LODESTONE DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310616865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N COLUMBIA ST STE D",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612182",
            "telephone_number": "478-295-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "HEATHER",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104234723",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Milledgeville",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 N Columbia St Ste D",
            "city": "Milledgeville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310612182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HERRING",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.