Individual provider Active NPI

Robert W Heidepriem, MD

  • Vascular Surgery Physician
  • Columbus, GA
National Provider Identifier
1619959673
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
109337 Issued in GA
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

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1700875OtherALUNITED HEALTHCARE
H85594OtherALVIVA
009941562MedicaidAL
51590936OtherALBLUE CROSS- SHELBY
P00381059OtherALRR MEDICARE
208500240OtherALAETNA
51540027OtherALBLUE CROSS-TRINITY
1700875OtherALMEDICARE COMPLETE
2081367OtherALCIGNA
51544310OtherALBLUE CROSS - PRINCETON
51539627OtherALBLUE CROSS-
51540026OtherALBLUE CROSS- ST VINCENTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040116000015 AL Practitioner - Vascular SurgeryPractitioner - General Surgery 0143121863
I20260126001191 GA Practitioner - Cardiovascular Disease (Cardiology) 0143121863 Reassigns benefits to 3 organizations

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
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

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 Hospital, Tallahassee, FL, CCN 100135
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Jackson Hospital Hospital, Marianna, FL, CCN 100142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal29
Leg revascularization (restoring blood flow)51
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00023846ALMDVascular Surgery Physician
109337GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Vascular Surgery CurrentSince Jan 10, 2023 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Jan 1, 2026 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jan 10, 2023 Accepting new patients
Vascular Associates of Birmingham, PC Vascular Surgery PastSince Jul 24, 1995 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

  • Direct secure messaging: rheidepriem22027@tallahasseememorial.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.