Individual provider Active NPI

Kristen Roach Heuerman, APRN, CNM

  • Advanced Practice Midwife
  • Lawrenceville, GA
National Provider Identifier
1598567877
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN302045 Issued in GA
Practice address
1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone
(678) 775-0600
Fax
(678) 377-5284
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN302045 GA Primary
Midwife 176B00000X RN302045 GA

Addresses

Primary practice location

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004

Mailing address

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

Other names 1

  • Kristen Megan Roach Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407001835 GA Practitioner - Certified Nurse Midwife (CNM) 2466976907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Physician Group, LLC CurrentSince Mar 18, 2025 Accepting new patients
Gwinnett Medical Group, Inc PastSince Mar 18, 2025 Accepting new patients

Locations

1942 Atkinson Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 775-0600

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Organizations & group practices 3

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1598567877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUERMAN",
        "first_name": "KRISTEN",
        "middle_name": "ROACH",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN302045",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN302045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ROACH",
            "middle_name": "MEGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.