Derek Heldzinger Professional, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEREK HELDZINGER PROFESSIONAL, LLC

Doing business as

Family Medical Center

Practice address

102 RBC Dr
Ringgold, GA 30736-2787

Phone

(814) 243-0414

Fax

(814) 479-5906

NPI assigned

Apr 3, 2020

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Heldzinger, MDNPI 1336442037

Title

Doctor of Medicine/Owner

Phone

(423) 827-9222

Specialties & licenses 1

Addresses

Other names 1

• FAMILY MEDICAL CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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.

• Derek Heldzinger, M.D.

  • Family Medicine Physician
  • Dalton, GA
  • NPI 1336442037
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1508495326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RBC DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362787",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RBC DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362787",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK HELDZINGER PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HELDZINGER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE/OWNER",
        "authorized_official_telephone_number": "423-827-9222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricialynngriesheimer@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Rbc Dr",
            "city": "Ringgold",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307362787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Marcia Davis, LPN
• Louis Andrew Day, DMD
• Emily R Dearing, PT
• David A Denman, MD
• Lud Denose-Harris, PMHNP
• Sahil Animesh Desai, RPH
• Shaina Destefano, BCBA
• Carissa Dingwall, LPC
• Joe Doss
• Matthew Tyler Douglas, PT, DPT

• Family Medicine Physician in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.