Individual provider Active NPI

Hannah Heilman, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1497102776
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN204248 Issued in GA
Practice address
227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649
Phone
(770) 513-7666
Fax
(770) 513-1093
NPI assigned
May 17, 2016
Sex
Female
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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN204248 GA Primary
Family Nurse Practitioner 363LF0000X RN204248 GA

Addresses

Primary practice location

227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649

Mailing address

227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649
Phone (770) 513-7666

Other practice location 1

4625 Alexander Dr Ste 200
Alpharetta, GA 30022-3721
Phone (678) 786-7422

Other practice location 2

5243 Snapfinger Woods Dr
Suite 103
Decatur, GA 30035-4000
Phone (770) 981-3511

Other identifiers 1

IdentifierTypeStateIssuer
1497102776MedicaidGA

Other names 1

  • Hannah Davis Langley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Emedpractice Direct

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
I20170117000193 GA Practitioner - Nurse Practitioner 9335421965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trifecta Health LLCGroup PAC ID 5496148470, 6 clinicians

Practice addresses (Care Compare)

3611 Braselton Hwy
Suite 201
Dacula, GA 30019-4673
Phone (678) 451-7006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN204248GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William C. McGarity, Jr., MD, PC CurrentSince Oct 10, 2016 Accepting new patients
Trifecta Health, LLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

3617 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 451-7006

3611 Braselton Hwy
Ste 201
Dacula, GA 30019
Phone (678) 280-1390

5243 Snapfinger Woods Dr
Ste 103
Decatur, GA 30035
Phone (770) 981-3511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1497102776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SCENIC HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465649",
            "telephone_number": "770-513-7666",
            "fax_number": "770-513-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SCENIC HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465649",
            "telephone_number": "770-513-7666",
            "fax_number": "770-513-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 Alexander Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300223721",
            "country_code": "US",
            "telephone_number": "678-786-7422",
            "fax_number": "770-674-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5243 Snapfinger Woods Dr",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354000",
            "country_code": "US",
            "telephone_number": "770-981-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "HANNAH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN204248",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497102776",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Emedpractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 Scenic Hwy Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300465649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DAVIS LANGLEY",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.