Derek J Heard, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049575 Issued in GA

Practice address

808 13TH Ave
Albany, GA 31701-1328

Phone

(229) 312-7750

Fax

(229) 889-7111

NPI assigned

Sep 7, 2005

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Albany, GA, CCN 117141
• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derek.heard.1@8478.direct.athenahealth.com
• Direct secure messaging: derek.heard@phoebehealth.gadirect.net

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Home Health

  • Home Health Agency
  • Albany, GA
  • NPI 1790766863

  Corporate Officer

  CMS ownership
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721

  Corporate Officer

  CMS ownership
• Phoebe Putney Memorial Hospital, Inc.

  dba Phoebe Putney Memorial Hosptial

  • Rehabilitation Hospital Unit
  • Albany, GA
  • NPI 1316992027

  Corporate Officer

  CMS ownership
• Phoebe Putney Memorial Hospital, Inc.

  dba Phoebe Putney Memorial Hosptial

  • Psychiatric Hospital Unit
  • Albany, GA
  • NPI 1669438404

  Corporate Officer

  CMS ownership
• Phoebe Putney Memorial Hospital, Inc.

  dba Phoebe Hospice

  • Community Based Hospice Care Agency
  • Albany, GA
  • NPI 1851356349

  Corporate Officer

  CMS ownership

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.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Phoebe Putney Memorial Hospital, Inc.

  dba Phoebe Family Medical Center - Pelham

  • Rural Health Clinic/Center
  • Pelham, GA
  • NPI 1821239765
  NPD (past)
• Phoebe Putney Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Camilla, GA
  • NPI 1821293788
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services USA LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Albany, GA
  • NPI 1780666321
  Care Compare affiliation
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1215921176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 13TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011328",
            "telephone_number": "229-312-7750",
            "fax_number": "229-889-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 13TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011328",
            "telephone_number": "229-312-7750",
            "fax_number": "229-889-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "DEREK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000891195H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000891195B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Jeannean Haynes, FNP
• Hays East Albany Pharmacy, Inc (Hays Pharmacy & Compounding Lab)
• Allison Lea Hays, MD
• David Thomas Hays, R.PH.
• Healthsource of Albany LLC
• Lindy Hearn, NP
• Heart & Soul Nursing Concierge LLC
• Lawanda Denise Heath
• Richard R Heath Jr., MD
• Heaven Sent Home Health Services,LLC

• Family Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.