Active NPI
Janeanna Shell Heath, MD
- Pediatrics Physician
- Athens, GA
National Provider Identifier
1740711308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 89465
- Practice address
- 225 Hawthorne Park
Athens, GA 30606-2151 - Phone
- (706) 613-6136
- NPI assigned
- Mar 24, 2017
- Last updated
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 89465 | GA | Primary |
| Pediatrics Physician | 208000000X | T-3429 | MS |
Addresses
Primary practice location
225 Hawthorne Park
Athens, GA 30606-2151
Mailing address
225 Hawthorne Park
Athens, GA 30606-2151
Phone (706) 613-6136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003254040B | Medicaid | GA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89465 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Regional Physician Services | Pediatrics | Past | Accepting new patients |
| Athens Area Pediatrics LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Athens, GA
- NPI 1518452150
-
- Pediatrics Physician
- Athens, GA
- NPI 1407006091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1740711308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HAWTHORNE PARK",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062151",
"telephone_number": "706-613-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HAWTHORNE PARK",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062151",
"telephone_number": "706-613-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JANEANNA",
"middle_name": "SHELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "89465",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "T-3429",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003254040B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.