Heidi Renee Gum, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-15264 Issued in NC

Practice address

120 S Grove St
Hendersonville, NC 28792-4007

Phone

(828) 685-2917

Fax

(855) 308-2340

NPI assigned

Aug 18, 2005

Last updated

Apr 15, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologic Surgery Center of Northeast Ohio IncGroup PAC ID 8729245477, 4 clinicians

Lamond Family Medicine PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Lamond Family Medicine, PLLC

  dba Blue Sky MD

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1629037270
  Medicare reassignment Care Compare group
• Dermatologic Surgery Center of Northeast Ohio Inc

  • MOHS-Micrographic Surgery Physician
  • Medina, OH
  • NPI 1205104601
  Care Compare group
• Center for Surgical Dermatology Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1972532091
  NPD (past)
• Holistic Wellness Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1588261929
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1346232071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S GROVE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924007",
            "telephone_number": "828-685-2917",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUM",
        "first_name": "HEIDI",
        "middle_name": "RENEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Andrew Steen Grissom, PT, DPT
• Kristen Leigh Grondin
• Grove Clinic Psychological Associates PA
• Rebecca H Guggenheim
• Gulf Atlantic Optical (H Rubin Vision Center)
• Aneeta Jain Gupta, M.D.
• Janet L. Guptill, MS, ATR-BC, LCAS
• Karthikeyan Guru
• Linda Owens Gutowski, DPT
• Amy Haakenson

• Physician Assistant in Hendersonville, NC
• Providers in Hendersonville, 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 Apr 15, 2025; 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.