Active NPI
Heather Denise Czarnecke, FNP-C
- Family Nurse Practitioner
- Dalton, GA
National Provider Identifier
1780140269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN185059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190430000715 | GA | Practitioner - Nurse Practitioner | 2466794185 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN185059 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children First LLC | Current | Accepting new patients | |
| Spencer Family Medicine, PC | Current | 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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1770627515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.