Heather Marie Marte, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03617 Issued in NC

Practice address

104 Pomona Dr
Greensboro, NC 27407-1616

Phone

(336) 268-4100

Fax

(336) 268-3158

NPI assigned

Jul 24, 2012

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 names 1

• Heather Marie Koehler Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hmarte259414@direct.novanthealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/FAEGAA

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.

• Eagle Physicians and Associates PA

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1457436982
  Medicare reassignment
• Eagle Physicians and Associates PA

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1013086321
  NPD
• Eagle Physicians and Associates PA

  • Physical Therapist
  • Greensboro, NC
  • NPI 1790491751
  NPD
• Eagle Physicians and Associates PA

  • Gastroenterology Physician
  • Greensboro, NC
  • NPI 1073698502
  NPD (past)
• Eagle Physicians and Associates PA

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1396852570
  NPD (past)
• Eagle Physicians and Associates PA

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1407871361
  NPD (past)
• Eagle Physicians and Associates PA

  • Sleep Medicine (Internal Medicine) Physician
  • Greensboro, NC
  • NPI 1609070648
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1285980540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071616",
            "telephone_number": "336-268-4100",
            "fax_number": "336-268-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Jake Alexander Blvd W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471177",
            "country_code": "US",
            "telephone_number": "704-638-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1977 Cotton Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272925721",
            "country_code": "US",
            "telephone_number": "336-243-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Battleground Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108592",
            "country_code": "US",
            "telephone_number": "336-564-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Highland Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271037154",
            "country_code": "US",
            "telephone_number": "336-646-7323",
            "fax_number": "336-646-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmarte259414@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "730 Highland Oaks Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271037154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.marte@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5921 W Friendly Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274103254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.marte@eaglep.clinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "104 Pomona Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KOEHLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Sowers Marshall, MSW, LCSW
• Savanna Marshall
• Tashawn Marshall, PHARMD
• William R Marshall, PHD
• Cara Marsicano, LCMHCA
• Jairo Marte, LMBT
• Ashley White Martin
• Ayshia Martin, CCC-SLP
• Barbara A Martin, LCSW
• Brittany Mariah Martin

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.