Heather G Dismuke, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN293813 Issued in GA

Practice address

101 Cobblestone Trce SE
Moultrie, GA 31788-7747

Phone

(229) 891-9016

Fax

(229) 891-9185

NPI assigned

Jun 22, 2023

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swartzentruber Medical Services LLCGroup PAC ID 9537458815, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Turning Point Hospital Hospital, Moultrie, GA, CCN 110209
• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Swartzentruber Medical Services LLC

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1376904201

  GA

  Medicare reassignment Care Compare group NPD
• The Kirk Clinic LLC

  • Rural Health Clinic/Center
  • Moultrie, GA
  • NPI 1083816128

  GA

  Medicare reassignment NPD
• Kirk Constant Care LLC

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1699423889
  NPD (past)

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

• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094

  Hospital

  Care Compare affiliation
• Colquitt Regional Medical Center

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036

  Hospital

  Care Compare affiliation
• Turning Point Care Center LLC

  • Special Hospital
  • Moultrie, GA
  • NPI 1205809571

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1386320752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COBBLESTONE TRCE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317887747",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Laurel Ct",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686889",
            "country_code": "US",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Veterans Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317886705",
            "country_code": "US",
            "telephone_number": "229-985-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISMUKE",
        "first_name": "HEATHER",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN293813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Dawson Jr., M.D.
• Daniel L Dell, CRNA
• Isha Denegall
• Stephanie Diers, NP
• Joshua P Dietzer, M.D.
• Daniel Rustin Dixon
• Woodly Terry Dominique
• Jaclyn Kaylor Donovan, MBA, MS, ATC, LAT
• Laura Lee Durham, CCC/SLP
• Laura Dominy Durrence

• All providers in Moultrie, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.