Individual provider Active NPI

Heather Denise Czarnecke, FNP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1780140269
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN185059 Issued in GA
Practice address
1414 Dug Gap Rd
Dalton, GA 30720-5007
Phone
(706) 279-0405
Fax
(706) 279-4190
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN185059 GA Primary

Addresses

Primary practice location

1414 Dug Gap Rd
Dalton, GA 30720-5007

Mailing address

1414 Dug Gap Rd
Dalton, GA 30720-5007
Phone (706) 279-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000715 GA Practitioner - Nurse Practitioner 2466794185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN185059GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children First LLC CurrentSince Dec 21, 2021 Accepting new patients
Spencer Family Medicine, PC CurrentSince Mar 4, 2019 Accepting new patients

Locations

650 Henderson Dr
Cartersville, GA 30120
Phone (678) 721-9922

650 Henderson Dr
Ste 504
Cartersville, GA 30120
Phone (678) 605-9111

1414 Dug Gap Rd
Dalton, GA 30720
Phone (706) 279-0405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1780140269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205007",
            "telephone_number": "706-279-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205007",
            "telephone_number": "706-279-0405",
            "fax_number": "706-279-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKE",
        "first_name": "HEATHER",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN185059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.