Individual provider Active NPI

Neeta Hillman, M.D.

  • Internal Medicine Physician
  • Lavonia, GA
National Provider Identifier
1467606871
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
073572 Issued in GA
Practice address
13033 Jones St
Lavonia, GA 30553-1159
Phone
(706) 764-7030
Fax
(706) 973-3598
NPI assigned
Nov 12, 2008
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 073572 GA Primary

Addresses

Primary practice location

13033 Jones St
Lavonia, GA 30553-1159

Mailing address

494 Old Seven Forks Rd
Martin, GA 30557-4951
Phone (706) 764-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073572GAMDInternal Medicine Physician
52490TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Sanitarium Incorporated Current Accepting new patients

Locations

435 Life Style Ln
Wildwood, GA 30757
Phone (706) 419-0023

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24451/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1467606871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 OLD SEVEN FORKS RD",
            "city": "MARTIN",
            "state": "GA",
            "postal_code": "305574951",
            "telephone_number": "706-764-7030",
            "fax_number": "706-973-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 JONES ST",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305531159",
            "telephone_number": "706-764-7030",
            "fax_number": "706-973-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "NEETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "073572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.