Hale E Hedley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME94099 Issued in FL

Practice address

6817 Southpoint Pkwy Ste 1704
#1704
Jacksonville, FL 32216-6298

Phone

(904) 222-8500

Fax

(800) 388-0270

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, 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

Specialty

Family Practice

Education

Georgetown University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Georgia Emergency Medicine Associates PCGroup PAC ID 4880850775, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649
  Medicare reassignment Care Compare group NPD
• Emergency Medical Specialists of Jacksonville

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1295738367
  Medicare reassignment NPD
• Olufisayo Arubuola M D P a

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1710170113
  Medicare reassignment NPD
• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362
  Medicare reassignment
• Baker Community Health Center Inc

  • Emergency Medicine Physician
  • Macclenny, FL
  • NPI 1396807319
  NPD (past)
• Diabetico Internacional, Inc.

  • Diabetes Educator Registered Nurse
  • Jacksonville, FL
  • NPI 1245554799
  NPD (past)
• Csra Emergency Physicians

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1750524849
  NPD (past)
• Emergency Physicians Inc

  • Emergency Medicine Physician
  • Brunswick, GA
  • NPI 1477001972
  NPD (past)

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

• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1669406260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1704",
            "address_2": "#1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-222-8500",
            "fax_number": "800-388-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1704",
            "address_2": "#1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-222-8500",
            "fax_number": "800-388-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDLEY",
        "first_name": "HALE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME94099",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29104",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273526100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151937965A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lynnice Heck
• Meredith Dawn Sanders Heck, MA-CCC,SLP
• Jay Robert Heckert, DO
• Marjorie Jane Heckler, CRNA
• Mary Hedges, MD
• Jena Leigh Hedrick-Walker, LMHC, LPC-S
• Seth Hedstrom
• Heekin Clinic LLC
• Heekin Orthopedic Joint Replacement Specialist
• Jennifer Ann Heery, N.P.

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.