Heather Nicole Pickelsimer, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

205932 Issued in GA

Practice address

528 Panther Dr
Jefferson, GA 30549

Phone

(706) 387-5655

Fax

(706) 387-5554

NPI assigned

Feb 15, 2016

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Nicole Harvey Former name

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restor Diabetes Care LLCGroup PAC ID 7911362363, 3 clinicians

Restorathens, LLCGroup PAC ID 2961800719, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restor Diabetes Care LLC

  • Clinic/Center
  • Woodstock, GA
  • NPI 1992433882
  Medicare reassignment Care Compare group NPD
• Restorathens, LLC

  • Clinic/Center
  • Athens, GA
  • NPI 1295405488
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1619336005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PANTHER DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495400",
            "telephone_number": "706-387-5655",
            "fax_number": "706-387-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PANTHER DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "30549",
            "telephone_number": "706-387-5655",
            "fax_number": "706-387-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Panther Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "30549",
            "country_code": "US",
            "telephone_number": "706-387-5655",
            "fax_number": "706-387-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKELSIMER",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "205932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HARVEY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Palmer
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• Navin Patel
• April L Patrick, MSN, APRN, FNP-C
• Peak Rehabilitation, Inc
• Piper Medical Transport, LLC
• Martin Lyle Plog, L.P.C.
• Lori A Posnansky, LMSW
• Laura Ann Prince, LMT
• Publix Super Markets Inc (Publix Pharmacy #1827)

• Family Nurse Practitioner in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.