Individual provider Active NPI

Norman Hadley Heindel IV, MD

  • Otolaryngology Physician
  • Newnan, GA
National Provider Identifier
1487147906
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
94979 Issued in GA
Practice address
2080 Newnan Crossing Blvd E Ste 300
Newnan, GA 30265-2557
Phone
(770) 955-0270
Fax
(770) 955-0271
NPI assigned
Jun 9, 2018
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 94979 GA Primary

Addresses

Primary practice location

2080 Newnan Crossing Blvd E Ste 300
Newnan, GA 30265-2557

Mailing address

2080 Newnan Crossing Blvd E Ste 300
Newnan, GA 30265-2557
Phone (770) 955-0270

Other practice location 1

1600 SW Archer Rd # D1-121
Gainesville, FL 32610-3003
Phone (352) 265-8989

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
I20230523002768 GA Practitioner - Otolaryngology 5496004236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Univ of Central Florida, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Hadley Heindel III, MD, LLCGroup PAC ID 1658655238, 4 clinicians

Practice addresses (Care Compare)

2080 Newnan Crossing Blvd E
Suite 300
Newnan, GA 30265-2555
Phone 7709550270109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
90
Promoting interoperability
99
Improvement activities
40
Cost
80.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94979GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Hadley Heindel III, MD, LLC Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients

Locations

2080 Newnan Crossing Blvd E
Ste 300
Newnan, GA 30265
Phone (770) 955-0270

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.

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1487147906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 NEWNAN CROSSING BLVD E STE 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652557",
            "telephone_number": "770-955-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NEWNAN CROSSING BLVD E STE 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652557",
            "telephone_number": "770-955-0270",
            "fax_number": "770-955-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd # D1-121",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINDEL",
        "first_name": "NORMAN",
        "middle_name": "HADLEY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "94979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.