Active NPI
Robert W Heidepriem, MD
- Vascular Surgery Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 109337
- Practice address
- 705 17TH St Ste 200
Columbus, GA 31901-3507 - Phone
- (706) 660-2485
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 109337 | GA | Primary |
| Vascular Surgery Physician | 2086S0129X | 00023846 | AL | |
| Vascular Surgery Physician | 2086S0129X | ME159968 | FL |
Addresses
Primary practice location
705 17TH St Ste 200
Columbus, GA 31901-3507
Mailing address
1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100
Other practice location 1
1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100
Other practice location 2
1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640
Phone (850) 216-0067
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700875 | Other | AL | UNITED HEALTHCARE |
| H85594 | Other | AL | VIVA |
| 009941562 | Medicaid | AL | |
| 51590936 | Other | AL | BLUE CROSS- SHELBY |
| P00381059 | Other | AL | RR MEDICARE |
| 208500240 | Other | AL | AETNA |
| 51540027 | Other | AL | BLUE CROSS-TRINITY |
| 1700875 | Other | AL | MEDICARE COMPLETE |
| 2081367 | Other | AL | CIGNA |
| 51544310 | Other | AL | BLUE CROSS - PRINCETON |
| 51539627 | Other | AL | BLUE CROSS- |
| 51540026 | Other | AL | BLUE CROSS- ST VINCENTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Frist CT
Columbus, GA 31909-3578
Phone (706) 649-6600
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
705 17TH St
Suite 200
Columbus, GA 31901-3507
Phone (706) 660-2485
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 660-2485
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
- Piedmont Columbus Regional Midtown
- Piedmont Columbus Regional Northside
- Jackson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 29 |
| Leg revascularization (restoring blood flow) | 51 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00023846 | AL | MD | Vascular Surgery Physician |
| 109337 | GA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Vascular Surgery | Current | Accepting new patients |
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Vascular Associates of Birmingham, PC | Vascular Surgery | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
1401 Centerville Rd
Ste 504
Tallahassee, FL 32308
Phone (850) 431-5001
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190
1405 Centerville Rd
Ste 5000
Tallahassee, FL 32308
Phone (850) 877-7886
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
705 17th St
Ste 200
Columbus, GA 31901
Phone (706) 322-7884
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648
Interoperability endpoints
- rheidepriem22027@tallahasseememorial.direct-ci.com
- robertheidepriem@tmhpp2.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
Vascular Surgery
-
- Clinical Cardiac Electrophysiology Physician
- Tallahassee, FL
- NPI 1396365623
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Vascular Surgery Physician
- Birmingham, AL
- NPI 1841244886
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1619959673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MEDICAL DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084646",
"telephone_number": "850-216-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 17TH ST STE 200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319013507",
"telephone_number": "706-660-2485"
}
],
"practiceLocations": [
{
"address_1": "1300 Medical Dr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084646",
"country_code": "US",
"telephone_number": "850-216-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Centerville Rd Ste 504",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084640",
"country_code": "US",
"telephone_number": "850-216-0067",
"fax_number": "850-216-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDEPRIEM",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "109337",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "00023846",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME159968",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1700875",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "H85594",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009941562",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS- SHELBY",
"identifier": "51590936",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00381059",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "208500240",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-TRINITY",
"identifier": "51540027",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE",
"identifier": "1700875",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2081367",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - PRINCETON",
"identifier": "51544310",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-",
"identifier": "51539627",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS- ST VINCENTS",
"identifier": "51540026",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.