Active NPI
Heather Smith Hardison, NP-C
- Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN157897NP
- Practice address
- 61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176 - Phone
- (770) 422-3290
- Fax
- (770) 422-0287
- NPI assigned
- Oct 17, 2007
- Last updated
- Jul 27, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 157897 | FL | |
| Nurse Practitioner | 363L00000X | RN157897NP | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN157897 | GA |
Addresses
Primary practice location
61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Mailing address
61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Phone (770) 422-3290
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157897 | FL | MD | Nurse Practitioner |
| RN157897NP | GA | MD | Nurse Practitioner |
| RN157897 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Highlands Medical Services, Inc. | Current | Accepting new patients | |
| Georgia Highlands Medical Services Inc | Current | Accepting new patients | |
| Georgia Highlands Medical Services, Inc. | Past | Accepting new patients | |
| David E Kim MD PC | Past | Accepting new patients | |
| Resurgens, LLC | Past | Accepting new patients |
Locations
210 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050
220 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050
775 West Ave
Ste A
Cartersville, GA 30120
Phone (470) 315-4689
260 Elm St
Cumming, GA 30040
Phone (470) 297-1004
475 Tribble Gap Rd
Cumming, GA 30040
Phone (470) 758-8573
5959 Highway 53 E
Dawsonville, GA 30534
Phone (706) 216-2771
Interoperability endpoints
- heather.hardison@ghms.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Cumming, GA
- NPI 1174529192
-
- Federally Qualified Health Center (FQHC)
- Buford, GA
- NPI 1427762707
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1194919381
-
dba Georgia Highlands Medical Services, Inc. - Canton
- Federally Qualified Health Center (FQHC)
- Canton, GA
- NPI 1063419422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1801085790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"address_2": "SUITE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "770-422-3290",
"fax_number": "770-422-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"address_2": "SUITE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "770-422-3290",
"fax_number": "770-422-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "HEATHER",
"middle_name": "SMITH",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "157897",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN157897NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN157897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.