Individual provider Active NPI

Heather Anthony, NP

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1275247405
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277850 Issued in GA
Practice address
4153B Flat Shoals Pkwy Ste 200
Decatur, GA 30034-4189
Phone
(404) 585-5049
Fax
(404) 591-0292
NPI assigned
Jan 11, 2023
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN277850 GA Primary

Addresses

Primary practice location

4153B Flat Shoals Pkwy Ste 200
Decatur, GA 30034-4189

Mailing address

PO Box 1901
Lithonia, GA 30058-1029
Phone (270) 933-0020

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
I20230410001447 GA Practitioner - Nurse Practitioner 8820463631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlife Urgent Care LLC CurrentSince Nov 29, 2023 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Jul 14, 2025 Accepting new patients
Medlife Healthcare LLC CurrentSince Nov 29, 2023 Accepting new patients
Zam Zam Family Clinic LLC CurrentSince Mar 29, 2023 Accepting new patients
Dekalb Medical Primary Care Group LLC PastSince Jun 1, 2025 Accepting new patients
Emory Medical Group, LLC PastSince Jun 1, 2025 Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2129 Friendship Rd
Ste 100
Buford, GA 30519
Phone (770) 209-2787

2035 Flat Shoals Rd SE
Conyers, GA 30013
Phone (770) 209-2787

965 Oakland Rd
Ste 3D
Lawrenceville, GA 30044
Phone (770) 495-9775

965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044
Phone (470) 818-8607

965 Oakland Rd
Ste D
Lawrenceville, GA 30044

345 Huntington Place Ct
#200
McDonough, GA 30253
Phone (404) 271-3775

345 Huntington Place Ct
Ste 200B
McDonough, GA 30253
Phone (678) 993-0820

5825 Buford Hwy
Ste 300
Norcross, GA 30071
Phone (678) 782-6920

Interoperability endpoints

  • Direct secure messaging: hanthony89807@direct.emory.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1275247405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581029",
            "telephone_number": "270-933-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153B FLAT SHOALS PKWY STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344189",
            "telephone_number": "404-585-5049",
            "fax_number": "404-591-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN277850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.