Active NPI
Deloris Ann Hefner, N.P.
- Ambulatory Women's Health Care Registered Nurse
- Dalton, GA
National Provider Identifier
1104848498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- RN033755
- Practice address
- 218 N Fredrick St
Dalton, GA 30721-3242 - Phone
- (706) 529-3643
- Fax
- (706) 374-7628
- NPI assigned
- Jul 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN033755 | GA | Primary |
Addresses
Primary practice location
218 N Fredrick St
Dalton, GA 30721-3242
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN033755 | GA | MD | Ambulatory Women's Health Care Registered Nurse |
| 033755 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Murray County Board of Health | Past | Accepting new patients |
Locations
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647
Interoperability endpoints
- doris.cummingham@gadirect.net
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Blue Ridge, GA
- NPI 1538123666
-
- Public Health or Welfare Agency
- Chatsworth, GA
- NPI 1619941689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1104848498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-5602",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 N FREDRICK ST",
"city": "DALTON",
"state": "GA",
"postal_code": "307213242",
"telephone_number": "706-529-3643",
"fax_number": "706-374-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFNER",
"first_name": "DELORIS",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "GA",
"license": "RN033755",
"primary": true
}
],
"identifiers": [],
"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 May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.