Heather Marie Ingram

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP715839 Issued in GA

Practice address

91 Greystone Cir
Hiram, GA 30141-3146

Phone

(901) 512-3761

NPI assigned

Jun 2, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Hensley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1801728803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GREYSTONE CIR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GREYSTONE CIR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413146",
            "telephone_number": "901-512-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP715839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HENSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christena Lynn Hurst, MFT
• Demesha Hutchinson, LPC
• Aidenojie Eromosele Ihenyen, M.D.
• Rita Ilenre, PHARMD
• Independent Physical Therapy of Georgia, LLC
• Integrated Healthcare Center of Hiram LLC
• Interactive Interventions
• Interventional Spine & Pain Management Center, PC
• Elizabeth Nyambura Irungu, NP
• Its Not Something Its Everything, LLC

• Nurse Practitioner in Hiram, GA
• Providers in Hiram, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.