Individual provider Active NPI

Heather Minshew, NP-C

  • Family Nurse Practitioner
  • Homerville, GA
National Provider Identifier
1861820987
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN133740 Issued in GA
Practice address
80 Huxford St
Homerville, GA 31634-2356
Phone
(912) 470-2273
NPI assigned
Oct 29, 2013
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 RN133740 GA Primary

Addresses

Primary practice location

80 Huxford St
Homerville, GA 31634-2356

Mailing address

220 Uvalda St
Waycross, GA 31501-4569
Phone (912) 285-2053

Other practice location 1

220 Uvalda St
Waycross, GA 31501-4569
Phone (912) 285-2053

Other practice location 2

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 487-5211

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
I20220603000288 GA Practitioner - Nurse Practitioner 8820476823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch County Hospital AuthorityGroup PAC ID 7416849922, 13 clinicians

Practice addresses (Care Compare)

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 487-5211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch County Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients
Clinch County Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients

Locations

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

80 Huxford St
Homerville, GA 31634
Phone (912) 470-2273

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1861820987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 UVALDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014569",
            "telephone_number": "912-285-2053",
            "fax_number": "912-287-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-470-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Uvalda St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315014569",
            "country_code": "US",
            "telephone_number": "912-285-2053",
            "fax_number": "912-287-1731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Valdosta Hwy",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316349701",
            "country_code": "US",
            "telephone_number": "912-487-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINSHEW",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN133740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homerville, GA

Sources for this page

Verify at the official NPI Registry.