Active NPI
Neeta Hillman, M.D.
- Internal Medicine Physician
- Lavonia, GA
National Provider Identifier
1467606871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 073572
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 073572 | GA | MD | Internal Medicine Physician |
| 52490 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Sanitarium Incorporated | Current | Accepting new patients |
Locations
435 Life Style Ln
Wildwood, GA 30757
Phone (706) 419-0023
Interoperability endpoints
- 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.
-
dba Wildwood Medical Clinic
- General Acute Care Hospital
- Wildwood, GA
- NPI 1902957541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.