NPIMap

Organization Active NPI

N Hadley Heindel III, MD, LLC

Doing business as Heindel ENT

  • Otolaryngology Physician
  • Newnan, GA
National Provider Identifier
1487198776
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
031939 Issued in GA
Legal business name
N HADLEY HEINDEL III, MD, LLC
Doing business as
Heindel ENT
Practice address
2080 Newnan Crossing Blvd E Ste 300
Newnan, GA 30265-2557
Phone
(770) 955-0270
Fax
(770) 955-0271
NPI assigned
Dec 6, 2016
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Norman Hadley Heindel III, MDNPI 1487147906
Title
Practicing Owner
Phone
(770) 955-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 031939 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 names 1

  • Heindel ENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227001257 GA Part B Supplier - Clinic/Group Practice 1658655238 Receives reassigned benefits from 4 practitioners
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

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

1601 Georgian Park
#100
Peachtree Cty, GA 30269
Phone (770) 955-0270

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1487198776",
    "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",
            "fax_number": "770-955-0271"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "N HADLEY HEINDEL III, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "HEINDEL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "HADLEY",
        "authorized_official_title_or_position": "PRACTICING OWNER",
        "authorized_official_telephone_number": "770-955-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "031939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heindel ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heindel ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.