Organization Active NPI

Heartland Healthcare PC

  • Specialist
  • Griffin, GA
National Provider Identifier
1407902638
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031590 Issued in GA
Legal business name
HEARTLAND HEALTHCARE PC
Practice address
327 S.9TH St
Griffin, GA 30224-4111
Phone
(770) 233-9293
Fax
(770) 233-0998
NPI assigned
Jan 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Laurie Ann Kelley
Title
Practice Manager
Phone
(770) 233-9293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 044231 GA
Specialist 174400000X 031590 GA Primary

Addresses

Primary practice location

327 S.9TH St
Griffin, GA 30224-4111

Mailing address

327 S.9TH St
Griffin, GA 30224-4111
Phone (770) 233-9293

Other identifiers 2

IdentifierTypeStateIssuer
00828055GMedicaidGA
00828055FMedicaidGA

Other names 1

  • HEARTLAND HEALTHCARE PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1720 Phoenix Blvd
Ste 300
College Park, GA 30349
Phone (470) 421-7483

327 S 9th St
Griffin, GA 30224
Phone (770) 233-9293

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407902638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S.9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-233-9293",
            "fax_number": "770-233-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S.9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-233-9293",
            "fax_number": "770-233-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-233-9293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "044231",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00828055G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00828055F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND HEALTHCARE PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.