Individual provider Active NPI

Heather Hearn Tejeda, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1780289595
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN204837 Issued in GA
Practice address
343 Plantation Way
Macon, GA 31210-9286
Phone
(912) 414-9963
NPI assigned
Dec 1, 2020
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 RN204837 GA Primary

Addresses

Primary practice location

343 Plantation Way
Macon, GA 31210-9286

Mailing address

343 Plantation Way
Macon, GA 31210-9286
Phone (912) 414-9963

Other names 1

  • Ms. Heather Hearn Denham Former name

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
I20210218000706 GA Practitioner - Nurse Practitioner 3779998026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

708 E 16TH Ave
Cordele, GA 31015-1512
Phone (229) 271-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc Current Accepting new patients
Community Care Health Network LLC CurrentSince Feb 3, 2026 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Truhealth, LLC CurrentSince Jan 1, 2021 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Physicians at Home PC Past Accepting new patients

Locations

223 W 3rd Ave
Albany, GA 31701
Phone (229) 435-0741

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

708 E 16th Ave
Cordele, GA 31015
Phone (229) 271-0300

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1780289595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PLANTATION WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312109286",
            "telephone_number": "912-414-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PLANTATION WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312109286",
            "telephone_number": "912-414-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "HEATHER",
        "middle_name": "HEARN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DENHAM",
            "middle_name": "HEARN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.