Individual provider Active NPI

Heather Sumner Herrin, FNP-BC

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1861014425
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN244866 Issued in GA
Practice address
3024 McCall Blvd
Statesboro, GA 30461-4919
Phone
(912) 508-2600
NPI assigned
May 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 RN244866 GA Primary

Addresses

Primary practice location

3024 McCall Blvd
Statesboro, GA 30461-4919

Mailing address

3024 McCall Blvd
Statesboro, GA 30461-4919
Phone (912) 508-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.herrin@eastgeorgiaregional.com Health Information Exchange (HIE) East Georgia Regional Medical Center, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN244866GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861014425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 MCCALL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614919",
            "telephone_number": "912-508-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 MCCALL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614919",
            "telephone_number": "912-508-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "HEATHER",
        "middle_name": "SUMNER",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.herrin@eastgeorgiaregional.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Work Email",
            "affiliationName": "East Georgia Regional Medical Center, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email to Myself via Secure Work Email",
            "address_1": "1499 Fair Rd",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304581683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.