Mollie Christene Headrick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN134270 Issued in GA

Practice address

1990 Lakeside Pkwy Ste 170
Tucker, GA 30084-5883

Phone

(770) 938-1757

Fax

(770) 938-1759

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Medical Consulting, P.C.Group PAC ID 3678589967, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.65 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

65.52

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Medical Consulting, P.C.

  dba Georgia Long Term Care and Consulting

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services, PC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1588469548

  GA

  Medicare reassignment

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336286723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 OVERLAND PARK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171446",
            "telephone_number": "770-967-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LAKESIDE PKWY STE 170",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845883",
            "telephone_number": "770-938-1757",
            "fax_number": "770-938-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "MOLLIE",
        "middle_name": "CHRISTENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN134270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Haskins
• Daniel Leroy Hatch, PH.D.
• Hannah Elizabeth Hathorn, M.ED. CCC-SLP
• Jurine D. Hatten, PT
• Jason R Haynes, NCC
• Healing Hands Diagnostic Lab LLC (Healing Hands Diagnostic LLC)
• Healing Outreach Purpose Empowerment
• Health-E LLC (Health-E Medical Center)
• Healthy Minds Psychology Associates Inc
• Luciana Heard, MFT

• Family Nurse Practitioner in Tucker, GA
• Providers in Tucker, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.