Active NPI
Heritage Health LLC
- Anesthesiology Physician
- Mableton, GA
National Provider Identifier
1669348488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- HERITAGE HEALTH LLC
- Practice address
- 5118 Parkwood Oaks LN
Mableton, GA 30126-7603 - Phone
- (803) 347-5963
- NPI assigned
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vandy Gaffney, MD
- Title
- Owner
- Phone
- (803) 347-5963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5118 Parkwood Oaks LN
Mableton, GA 30126-7603
Mailing address
5118 Parkwood Oaks LN
Mableton, GA 30126-7603
Phone (803) 347-5963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1669348488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 PARKWOOD OAKS LN",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267603",
"telephone_number": "803-347-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 PARKWOOD OAKS LN",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267603",
"telephone_number": "803-347-5963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "GAFFNEY",
"authorized_official_first_name": "VANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-347-5963",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.