Robert F Heath, MD
Individual provider Active NPI Internal Medicine Physician · Cochran, GA
NPI 1104822964 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1104822964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 040684 (GA)
- Practice address
- 179 W Dykes St
Cochran, GA 31014-6921 - Phone
- (478) 934-8200
- Fax
- (478) 934-8244
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Badia Medical LLC
Practice addresses (Care Compare)
179 W Dykes St
Cochran, GA 31014-6921
Phone (478) 922-3074
Hospital & facility affiliations
- Adoration Home Health
- Bleckley Memorial Hospital
- Dodge County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100127000032 | GA | Practitioner - Internal Medicine | 1052453248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040684 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badia Medical, LLC | Current |
Accepting new patients |
Locations
179 W Dykes St
Cochran, GA 31014
Phone (478) 922-3074
107 Peacock Dr
Warner Robins, GA 31088
Phone (478) 919-6835
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGHCCD/Endpoint/IGHCCD
- robertheath@trh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 040684 | GA | Yes |
Addresses
Primary practice location
179 W Dykes St
Cochran, GA 31014-6921
Mailing address
179 W Dykes St
Cochran, GA 31014-6921
Phone (478) 934-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000682404D | Medicaid | GA |
Other providers in Cochran, GA
- Green Meadows Personal Care, Inc.
- Damia K Gunter
- George E Harrison
- Heartland EMS Inc
- Heartland EMS Inc
- Victoria Hensley
- Elizabeth Hortman
- Robin Hunter
- Lewis Glenn Jones
- Ashley Lewis
All providers in Cochran, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.