Heritage Medical Management Group LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

HERITAGE MEDICAL MANAGEMENT GROUP LLC

Practice address

777 Cleveland Ave SW
Atlanta, GA 30315-7129

Phone

(404) 755-2291

Fax

(732) 347-3388

NPI assigned

Sep 15, 2025

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve O OdehNPI 1801940200

Title

Ceo

Phone

(404) 242-9621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve O Odeh, M.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bremen, GA
  • NPI 1801940200
  Medicare reassignment NPD Authorized official
• Mylene Lilian Gonzales

  • Gerontology Nurse Practitioner
  • Johns Creek, GA
  • NPI 1396345948
  Medicare reassignment
• Lori A Hudson, RN-FNPC

  • Family Nurse Practitioner
  • Woodstock, GA
  • NPI 1245319441

  Multi-Specialty

  NPD
• Tommy D Bledsoe, M.D.

  • Internal Medicine Physician
  • Chatsworth, GA
  • NPI 1194744524
  NPD (past)
• Anthony F Human, DO

  • Family Medicine Physician
  • Dacula, GA
  • NPI 1639182132
  NPD (past)
• Sarandeep K. Makkar, MD, DO

  • Family Medicine Physician
  • Lithonia, GA
  • NPI 1487683157
  NPD (past)
• Ralph J Templeton, DC

  • Chiropractor
  • Bremen, GA
  • NPI 1558423830
  NPD (past)
• Janice May Wilder, NP

  • Nurse Practitioner
  • Carrollton, GA
  • NPI 1245581602
  NPD (past)

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1710858592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "678-621-0421",
            "fax_number": "732-347-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-755-2291",
            "fax_number": "732-347-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-242-9621"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Herdman, PT
• Here for You Consulting
• Here's to Life, Inc
• Diana Heredia Arrocete
• Peter Marshall Herington, PA-C
• Nannette Neumark Herlands, RN
• Gila Herman, NP
• Carlos Hernaiz Alonso, CAA
• Sianya Hernandez Chan, RN
• Nicole Hernandez Jimenez

• Vascular Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.

Verify at the official NPI Registry.