Individual provider Active NPI

Don S Heacock, M.D.

  • Specialist
  • Macon, GA
National Provider Identifier
1447292008
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
037564 Issued in GA
Practice address
791 Poplar St
Macon, GA 31201-2045
Phone
(478) 755-0800
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 037564 GA Primary

Addresses

Primary practice location

791 Poplar St
Macon, GA 31201-2045

Mailing address

791 Poplar St
Macon, GA 31201-2045
Phone (478) 755-0800

Other identifiers 1

IdentifierTypeStateIssuer
0000571073AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060427000033 GA Practitioner - Gastroenterology 1557334836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Gastroenterology, LLCGroup PAC ID 9739367459, 3 clinicians

Practice addresses (Care Compare)

1011 Fernwood Dr
Milledgeville, GA 31061-5425
Phone (478) 457-3900

791 Poplar St
Macon, GA 31201-2045
Phone (478) 755-0800

Hospital & facility affiliations

  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037564GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Gastroenterology, LLC Specialist CurrentSince Apr 15, 2011 Accepting new patients
Middle Georgia Gastroenterology Specialist PastSince Sep 1, 1993 Accepting new patients

Locations

249 Sheraton Blvd
Macon, GA 31210
Phone (478) 241-2780

791 Poplar St
Macon, GA 31201
Phone (478) 755-0800

1011 Fernwood Dr
Milledgeville, GA 31061
Phone (478) 457-3900

Interoperability endpoints

  • Direct secure messaging: don.heacock@oconeeregional.gadirect.net

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1447292008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEACOCK",
        "first_name": "DON",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "037564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000571073A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.