Individual provider Active NPI

Cary Austin Sanders Hefty, M.D.

  • Internal Medicine Physician
  • Washington, GA
National Provider Identifier
1114154077
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
069629 Issued in GA
Practice address
124 Gordon St
Washington, GA 30673-1602
Phone
(706) 678-3793
NPI assigned
Jun 18, 2009
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 069629 GA Primary
Pediatrics Physician 208000000X 069629 GA

Addresses

Primary practice location

124 Gordon St
Washington, GA 30673-1602

Mailing address

124 Gordon St
Washington, GA 30673-1602
Phone (706) 678-3793

Other identifiers 1

IdentifierTypeStateIssuer
003134599CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000060 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6002071362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

1305 Jennings Mill Rd
Suite 210
Watkinsville, GA 30677-7241
Phone (706) 552-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Sep 6, 2022 Accepting new patients
Springtide Health Partners, LLC Internal Medicine Current Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

124 Gordon St
Washington, GA 30673
Phone (706) 678-1538

1305 Jennings Mill Rd
Ste 210
Watkinsville, GA 30677
Phone (706) 552-1900

Interoperability endpoints

  • Direct secure messaging: cary.hefty.1@15918.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1114154077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731602",
            "telephone_number": "706-678-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731602",
            "telephone_number": "706-678-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFTY",
        "first_name": "CARY",
        "middle_name": "AUSTIN SANDERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "069629",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "069629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134599C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, GA

Sources for this page

Verify at the official NPI Registry.