Juan He, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005635 Issued in GA

Practice address

2550 Windy Hill Rd SE
Suite 215
Marietta, GA 30067-8665

Phone

(770) 850-8464

Fax

(770) 850-9727

NPI assigned

Mar 17, 2010

Sex

Female

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 5

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.66 of 100Reported as group

Quality

74.46

Promoting interoperability

99

Improvement activities

40

Cost

71.9

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.he@ispm.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004
  Medicare reassignment Care Compare group NPD
• CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
  • NPI 1689945800
  NPD
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608
  NPD
• Georgia Pain Physicians PC

  • Pain Medicine Physician
  • Marietta, GA
  • NPI 1407884489

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1255655403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-850-8464",
            "fax_number": "770-850-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-850-8464",
            "fax_number": "770-850-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "JUAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141265B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141265D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141265F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141265C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141265E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbie Janeen Hayward, APRN, AGPCNP-BC
• Rebecka Hazelwood, PHARMD
• Shaina Contigiani Hazen, PA-C
• Antonia Hazlett
• HCC Healthcare of Marietta, LLC
• Keyana Headley, RBT
• Jennifer Lynn Headrick, M.D.
• Deborah Entwistle Heairlston, D.C.
• Heal Better Feel Better, LLC
• Healing Grace Counseling Services

• Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.