Individual provider Active NPI

Heather Eberlein, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1467288548
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN286423 Issued in GA
Practice address
639 Hemlock St Ste 100
Macon, GA 31201-6889
Phone
(478) 755-1560
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN286423 GA Primary

Addresses

Primary practice location

639 Hemlock St Ste 100
Macon, GA 31201-6889

Mailing address

639 Hemlock St Ste 100
Macon, GA 31201-6889
Phone (478) 755-1560

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030001447 GA Practitioner - Nurse Practitioner 2769915693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Macon Electrophysiology AssociatesGroup PAC ID 7012801590, 7 clinicians

Practice addresses (Care Compare)

639 Hemlock St
Suite 100
Macon, GA 31201-6889
Phone (478) 755-1560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN286423GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon Electrophysiology Associates CurrentSince Oct 1, 2024 Accepting new patients
Georgia Arrhythmia Consultants and Research Institute PastSince Sep 15, 2024 Accepting new patients

Locations

639 Hemlock St
Ste 100
Macon, GA 31201

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-1101

Interoperability endpoints

  • Direct secure messaging: cclarke446822@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1467288548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-755-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLEIN",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN286423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.