NPIMap

Organization Active NPI

Heritage Foundation Inc

  • Community/Behavioral Health Agency
  • Thomasville, GA
National Provider Identifier
1609282698
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
136-608D Issued in GA
Legal business name
HERITAGE FOUNDATION INC
Practice address
330 Remington Ave
Thomasville, GA 31792-5523
Phone
(229) 228-5545
Fax
(229) 226-4755
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Nicole Gatlin, MS, CRC, NCACII, CCS
Title
Executive Director
Phone
(229) 228-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 136-608D GA Primary

Addresses

Primary practice location

330 Remington Ave
Thomasville, GA 31792-5523

Mailing address

PO Box 2966
Thomasville, GA 31799-2966
Phone (229) 228-5545

Other identifiers 2

IdentifierTypeStateIssuer
000974322EMedicaidGA
000974322AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Heritage Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1609282698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2966",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992966",
            "telephone_number": "229-228-5545",
            "fax_number": "229-226-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925523",
            "telephone_number": "229-228-5545",
            "fax_number": "229-226-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-228-5545",
        "authorized_official_credential": "MS, CRC, NCACII, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "136-608D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000974322E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000974322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.