Active NPI
Jessica Thames Heath, FNP-C
- Dermatology Physician
- Newnan, GA
National Provider Identifier
1215517248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F02211261
- Practice address
- 1615 Highway 34 E Ste B
Newnan, GA 30265-1325 - Phone
- (770) 400-8400
- Fax
- (770) 666-2461
- NPI assigned
- Apr 13, 2021
- Last updated
- Apr 13, 2021
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F02211261 | GA | Primary |
Addresses
Primary practice location
1615 Highway 34 E Ste B
Newnan, GA 30265-1325
Mailing address
1615 Highway 34 E Ste B
Newnan, GA 30265-1325
Phone (770) 400-8400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02211261 | GA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1215517248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HIGHWAY 34 E STE B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651325",
"telephone_number": "770-400-8400",
"fax_number": "770-666-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HIGHWAY 34 E STE B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651325",
"telephone_number": "770-400-8400",
"fax_number": "770-666-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JESSICA",
"middle_name": "THAMES",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "F02211261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
- Healthfield Hospice Services, LLC (Gentiva)
- Healthfield, Inc. (Healthfield Respiratory Services & HME)
- Healthy Life Chiropractic Inc
- Heartstride Health LLC
- Carollynn Heath, CRNA
- Jennifer Ashley Heavin, NURSE PRACTITIONER
- Rachel Marie Hedlund
- N Hadley Heindel III, M.D.
- Norman Hadley Heindel IV, MD
- David Joseph Heinsch, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.