Individual provider Active NPI

Heather Givens, PA

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1144716606
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8812 Issued in GA
Practice address
556 3Rd St Ste a
Macon, GA 31201-7993
Phone
(478) 743-2472
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8812 GA Primary

Addresses

Primary practice location

556 3Rd St Ste a
Macon, GA 31201-7993

Mailing address

556 3Rd St Ste a
Macon, GA 31201-7993
Phone (478) 743-2472

Other practice location 1

1743 Watson Blvd Ste A
Warner Robins, GA 31093
Phone (478) 328-9690

Other identifiers 2

IdentifierTypeStateIssuer
1153909OtherGANCCPA CERTIFICATION
8812OtherGAPA LICENSE NUMBER

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
I20181001003033 GA Practitioner - Physician Assistant 3577814524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Specialists of the SouthGroup PAC ID 0547435372, 6 clinicians

Practice addresses (Care Compare)

556 3Rd St
Macon, GA 31201-7934

556 3Rd St
Suite a
Macon, GA 31201-7993
Phone (478) 743-2472

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
89.02
Promoting interoperability
100
Improvement activities
40
Cost
73.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008812GAMDInternal Medicine Physician
8812GAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: heather.givens.1@20306.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1144716606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 3RD ST STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017993",
            "telephone_number": "478-743-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 3RD ST STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017993",
            "telephone_number": "478-743-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1743 Watson Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "31093",
            "country_code": "US",
            "telephone_number": "478-328-9690",
            "fax_number": "478-328-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "HEATHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1153909",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "8812",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.