Individual provider Active NPI

Heather McLaughlin, APRN

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1861032187
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN204752 Issued in GA
Practice address
497 Rome St
Carrollton, GA 30117-3108
Phone
(770) 462-1047
NPI assigned
Jan 14, 2020
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3014204 KY
Family Medicine Physician 207Q00000X RN204752 GA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X RN204752 GA
Family Nurse Practitioner 363LF0000X 3014204 KY
Family Nurse Practitioner 363LF0000X RN204752 GA Primary

Addresses

Primary practice location

497 Rome St
Carrollton, GA 30117-3108

Mailing address

497 Rome St
Carrollton, GA 30117-3108
Phone (770) 462-1047

Other practice location 1

100 Market Place Blvd
Cartersville, GA 30121-8718
Phone (678) 290-4817

Other identifiers 1

IdentifierTypeStateIssuer
1861032187MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.providerhealthservices.net Provider Health Services,LLC

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
I20210726002596 GA Practitioner - Nurse Practitioner 2062840812 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN204752GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hospice of Lawrencesville, LLC CurrentSince Dec 1, 2022 Accepting new patients
Homestead Hospice of Cartersville, LLC CurrentSince Nov 1, 2022 Accepting new patients
Georgia Mso LLC Family Medicine CurrentSince Apr 15, 2025 Accepting new patients
Traditions Hospice of Lawrenceville, LLC Family Medicine CurrentSince Nov 13, 2022 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince May 28, 2023 Accepting new patients

Locations

497 Rome St
Carrollton, GA 30117
Phone (770) 462-1047

1 N Tennessee St
Cartersville, GA 30120
Phone (678) 290-4817

100 Market Place Blvd
Ste 301
Cartersville, GA 30121
Phone (678) 290-4817

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1861032187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 ROME ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173108",
            "telephone_number": "770-462-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 ROME ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173108",
            "telephone_number": "770-462-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Market Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218718",
            "country_code": "US",
            "telephone_number": "678-290-4817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3014204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN204752",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "RN204752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861032187",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.providerhealthservices.net",
            "affiliation": "Y",
            "affiliationName": "Provider Health Services,LLC",
            "address_1": "544 Lone Oak Rd",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420034538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.