Organization Active NPI

Heller Family Medicine, LLC

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1831545508
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HELLER FAMILY MEDICINE, LLC
Practice address
208 Scranton Connector Ste 120
Brunswick, GA 31525
Phone
(912) 264-2244
Fax
(404) 855-4381
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Heather Winderman
Title
Manager
Phone
(912) 264-2244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

208 Scranton Connector Ste 120
Brunswick, GA 31525

Mailing address

208 Scranton Connector Ste 120
Brunswick, GA 31525-0561
Phone (912) 264-2244

Other practice location 1

7967 Cincinnati Dayton Rd
West Chester, OH 45069-2026
Phone (513) 685-0949

National Provider Directory

National Provider Directory

Locations

7967 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 685-0949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1831545508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR STE 120",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250561",
            "telephone_number": "912-264-2244",
            "fax_number": "404-855-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR STE 120",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-264-2244",
            "fax_number": "404-855-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7967 Cincinnati Dayton Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692026",
            "country_code": "US",
            "telephone_number": "513-685-0949",
            "fax_number": "513-282-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HELLER FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WINDERMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-264-2244"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.