Active NPI
Bernard Hein III, MD
- Anesthesiology Physician
- Dalton, GA
National Provider Identifier
1104821594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 052577
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 259-4435
- Fax
- (706) 226-2283
- NPI assigned
- Jun 14, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 052577 | GA | |
| Anesthesiology Physician | 207L00000X | 052577 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
PO Box 2563
Dalton, GA 30720-2529
Phone (706) 259-4435
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 663Z17573G | Medicaid | GA | |
| P00081642 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Country Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Beach Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists Associated PC | Anesthesiology | Past | Accepting new patients |
| East Tennessee Medical Group, PC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Specialist | Past | Accepting new patients |
Locations
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
-
- Interventional Pain Medicine Physician
- Chattanooga, TN
- NPI 1447203922
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1104821594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2563",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "BERNARD",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "052577",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "052577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "663Z17573G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00081642",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.