Individual provider Active NPI

Heather Dawn Noblett, N.P.

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1649504457
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
144708 Issued in GA
Practice address
558 Old Norcross Rd Ste 101
Lawrenceville, GA 30046-4385
Phone
(470) 361-4350
Fax
(928) 268-0235
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 144708 GA Primary

Addresses

Primary practice location

558 Old Norcross Rd Ste 101
Lawrenceville, GA 30046-4385

Mailing address

748 Old Norcross Rd
Suite 185
Lawrenceville, GA 30046-3393
Phone (770) 277-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
144708GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Center Medical Associates Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEFEAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1649504457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 OLD NORCROSS RD",
            "address_2": "SUITE 185",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463393",
            "telephone_number": "770-277-8554",
            "fax_number": "770-277-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 OLD NORCROSS RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464385",
            "telephone_number": "470-361-4350",
            "fax_number": "928-268-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLETT",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "144708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.