Individual provider Active NPI

Logan Reed Heflin, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1396499760
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-156065 Issued in AL
Practice address
8375 Highway 72 W
Madison, AL 35758-9573
Phone
(256) 265-2012
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1-156065 AL Primary

Addresses

Primary practice location

8375 Highway 72 W
Madison, AL 35758-9573

Mailing address

101 Iron Horse TRL
Harvest, AL 35749-8131
Phone (256) 476-9166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220401001721 AL Practitioner - Nurse Practitioner 6800282740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

1115 Beltline Rd SE
Suite 400
Decatur, AL 35601-6556
Phone (256) 898-3004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-156065ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care, Inc. CurrentSince Aug 27, 2024 Accepting new patients
Advantage Family Care Inc Multi-Specialty CurrentSince Aug 27, 2024 Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

300 Hughes Rd
Ste G2
Madison, AL 35758
Phone (256) 542-0230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1396499760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 IRON HORSE TRL",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357498131",
            "telephone_number": "256-476-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589573",
            "telephone_number": "256-265-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "LOGAN",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-156065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.