Individual provider Active NPI

Heather Tison Sweetwood, PA-C

  • Medical Physician Assistant
  • Marietta, GA
National Provider Identifier
1629268487
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
61 Whitcher Street NE
Suite 2100
Marietta, GA 30060
Phone
(770) 423-0595
Fax
(678) 391-5055
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

61 Whitcher Street NE
Suite 2100
Marietta, GA 30060

Mailing address

100 Stoneforest Dr Ste 130
Woodstock, GA 30189-4881
Phone (770) 423-0595

Other identifiers 1

IdentifierTypeStateIssuer
005107OtherGASTATE LICENSE

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000220 GA Practitioner - Physician Assistant 0143315432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gauld HealthGroup PAC ID 9537576889, 6 clinicians

Practice addresses (Care Compare)

1075 Whitlock Ave SW
Suite I
Marietta, GA 30064-1996
Phone (678) 215-1882

3280 Howell Mill Rd NW
Suite 243
Atlanta, GA 30327-4100
Phone (678) 215-1882

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Associates, PC CurrentSince Jun 18, 2007 Accepting new patients
Quantum Radiology, PC Past Accepting new patients

Locations

2041 Mesa Valley Way
Ste 185
Austell, GA 30106
Phone (404) 785-8900

130 Riverstone Ter
Ste 100
Canton, GA 30114
Phone (770) 479-4800

962 Joe Frank Harris Pkwy SE
Ste 202
Cartersville, GA 30120
Phone (770) 334-8818

6095 Professional Pkwy
Ste B203
Douglasville, GA 30134
Phone (770) 947-7747

148 Bill Carruth Pkwy
Ste 380
Hiram, GA 30141
Phone (770) 874-0703

60 Chastain Center Blvd NW
Ste 66
Kennesaw, GA 30144

61 Whitcher St NE
Ste 2100
Marietta, GA 30060

61 Whitcher St NE
Ste 2120
Marietta, GA 30060
Phone (770) 544-1145

3747 Roswell Rd
Ste 316
Marietta, GA 30062
Phone (678) 626-5420

61 Whitcher St NE
Ste 3150
Marietta, GA 30060

120 Stonebridge Pkwy
Ste 320
Woodstock, GA 30189
Phone (770) 874-7631

100 Stoneforest Dr
Ste 130
Woodstock, GA 30189
Phone (678) 388-1621

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1629268487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894881",
            "telephone_number": "770-423-0595",
            "fax_number": "678-388-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WHITCHER STREET NE",
            "address_2": "SUITE 2100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-423-0595",
            "fax_number": "678-391-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETWOOD",
        "first_name": "HEATHER",
        "middle_name": "TISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005107",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.