Jana Renee Himmelbaum, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

75152 Issued in GA

Practice address

5629 Holiday Rd
Buford, GA 30518-1519

Phone

(678) 765-8622

Fax

(678) 765-8621

NPI assigned

Jun 25, 2013

Last updated

Mar 7, 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

Other names 1

• Jana Renee Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15023/brand/1/csg/1/fhir/r4
• Direct secure messaging: jana.himmelbaum.1@15023.direct.athenahealth.com

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.

• Spirit of Key West LLC

  dba Lake Lanier Pediatrics

  • Primary Care Clinic/Center
  • Buford, GA
  • NPI 1881138279
  Authorized official Same address or phone

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1427497353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 HOLIDAY RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181519",
            "telephone_number": "678-765-8622",
            "fax_number": "678-765-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 HOLIDAY RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181519",
            "telephone_number": "678-765-8622",
            "fax_number": "678-765-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Peachtree Industrial Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sugar Hill",
            "state": "GA",
            "postal_code": "305186288",
            "country_code": "US",
            "telephone_number": "678-765-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMMELBAUM",
        "first_name": "JANA",
        "middle_name": "RENEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "75152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "SMITH",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heritage Medical Solutions
• Heritage Medical Solutions, Inc.
• Stephany Hernandez
• Evelyn Mary Higgins, DC
• Quentin Higgins, M.S. ATC LAT CSCS
• Samantha Riley Himmelbaum
• Huyen K Hoang
• Bethany Hoffman
• Chloe Taylor Holbrook
• Penny Rena Holman

• Pediatrics Physician in Buford, GA
• Providers in Buford, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.