Organization Active NPI

Stacey C. Heit, M.D., P.C.

  • Psychiatry Physician
  • Roswell, GA
National Provider Identifier
1245404037
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41307 Issued in GA
Legal business name
STACEY C. HEIT, M.D., P.C.
Practice address
11755 Pointe PL
Suite A1
Roswell, GA 30076-4636
Phone
(678) 613-4745
Fax
(770) 667-2238
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Stacey Cathleen Heit, M.D.NPI 1700965175
Title
Owner
Phone
(678) 613-4745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 41307 GA Primary

Addresses

Primary practice location

11755 Pointe PL
Suite A1
Roswell, GA 30076-4636

Mailing address

11755 Pointe PL
Suite A1
Roswell, GA 30076-4636
Phone (678) 613-4745

National Provider Directory

National Provider Directory

Locations

11550 Pointe Pl
#A
Roswell, GA 30076
Phone (678) 613-4745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1245404037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 POINTE PL",
            "address_2": "SUITE A1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "678-613-4745",
            "fax_number": "770-667-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 POINTE PL",
            "address_2": "SUITE A1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "678-613-4745",
            "fax_number": "770-667-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY C. HEIT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HEIT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "CATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-613-4745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "41307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.