Individual provider Active NPI

James Heery

  • Specialist
  • Brunswick, GA
National Provider Identifier
1639270374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040094 Issued in GA
Practice address
3226 Hampton Ave
Suite a
Brunswick, GA 31520-4225
Phone
(912) 264-0760
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 040094 GA Primary

Addresses

Primary practice location

3226 Hampton Ave
Suite a
Brunswick, GA 31520-4225

Mailing address

3226 Hampton Ave
Suite a
Brunswick, GA 31520-4225
Phone (912) 264-0760

Other identifiers 1

IdentifierTypeStateIssuer
00143459OtherGARR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000843 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234103276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiology PC Specialist Current Accepting new patients

Locations

3226 Hampton Ave
Ste A
Brunswick, GA 31520
Phone (912) 264-0760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639270374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE",
            "address_2": "SUITE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204225",
            "telephone_number": "912-264-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE",
            "address_2": "SUITE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204225",
            "telephone_number": "912-264-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERY",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "040094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "00143459",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.