Heart MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART MD

Practice address

1103 Plaza Ave
Eastman, GA 31023-6788

Phone

(912) 536-7699

NPI assigned

Nov 15, 2019

Last updated

Apr 13, 2022By 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

Justin McCullough, MD

Title

Owner

Phone

(912) 536-7699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

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.

• Ricky Justin McCullough, M.D.

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1245469519
  Medicare reassignment NPD
• Benjamin S Brown, M.D.

  • Specialist
  • Thomaston, GA
  • NPI 1982871299
  NPD (past)
• Sabrina M. Lancaster, FNP

  • Family Nurse Practitioner
  • Thomaston, GA
  • NPI 1619936895
  NPD (past)
• Shannon Nicole Mitchell, NP

  • Primary Care Nurse Practitioner
  • Macon, GA
  • NPI 1942943667
  NPD (past)
• Brandy Pfeiffer

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1265084701
  NPD (past)
• Eric J Schubert, FNP

  • Family Nurse Practitioner
  • Thomaston, GA
  • NPI 1386171387
  NPD (past)
• Amber Jones Womack, NP

  • Family Nurse Practitioner
  • Thomaston, GA
  • NPI 1578132536
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1558906396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WAVERLY PT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312107546",
            "telephone_number": "912-536-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236788",
            "telephone_number": "912-536-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-536-7699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa June Hardy, FNP-C
• April Harrell, PHARM.D
• Byrd Daniel Harrell, DMD
• Lydia Hart
• Healing Hands Home Health Care LTD Co
• Heart of Georgia Altamaha Regional Commission
• Heart of Georgia Primary Care, LLC
• Heart of Georgia Surgery Associates, LLC
• Heather T Herrington MD LLC
• Heather Tiffany Herrington, M.D.

• Cardiovascular Disease Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.