Individual provider Active NPI

Heather Smith Hardison, NP-C

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1801085790
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN157897NP Issued in GA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000393 GA Practitioner - Nurse Practitioner 3678654779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
157897FLMDNurse Practitioner
RN157897NPGAMDNurse Practitioner
RN157897GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Highlands Medical Services, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Georgia Highlands Medical Services Inc CurrentSince Jan 6, 2020 Accepting new patients
Georgia Highlands Medical Services, Inc. Past Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
Resurgens, LLC PastSince Mar 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.