Individual provider Active NPI

Bradley A Heiges, MD

  • Orthopaedic Surgery of the Spine Physician
  • Savannah, GA
National Provider Identifier
1871565481
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
050479 Issued in GA
Practice address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone
(912) 644-5300
Fax
(912) 644-5260
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 050479 GA Primary

Addresses

Primary practice location

210 E Derenne Ave
Savannah, GA 31405-6736

Mailing address

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 644-5300

Other practice location 1

101 W Mulberry Blvd, Ste 140
Pooler, GA 31322
Phone (912) 748-5111

Other practice location 2

810 Towne Park Dr Ste 200
Rincon, GA 31326-5167
Phone (912) 826-2533

Other practice location 3

166 Memorial Dr
Jesup, GA 31545-0101
Phone (912) 427-0800

Other practice location 4

8 N Williams St
Metter, GA 30439-4547
Phone (912) 685-3550

Other practice location 5

602 E Long St
Claxton, GA 30417-5914
Phone (912) 739-3275

Other practice location 6

60 Exchange St Ste B1
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Other practice location 7

16915 Highway 67 Ste A
Statesboro, GA 30458-5819
Phone (912) 681-2500

Other identifiers 2

IdentifierTypeStateIssuer
00916132AMedicaidGA
000916132IMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000656 GA Practitioner - Orthopedic Surgery 0547342131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians
Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians

Practice addresses (Care Compare)

17007 Hwy 67
Statesboro, GA 30458-2426
Phone (912) 681-2500

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

371 Peachtree St
Jesup, GA 31545-0245
Phone (912) 427-2417

60 Exchange St
Suite B1
Richmond Hill, GA 31324-7644
Phone (912) 999-2072

810 Towne Park Dr
Suite 200
Rincon, GA 31326-5167
Phone (912) 826-2533

Hospital & facility affiliations

  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323
  • Effingham Health System Hospital, Springfield, GA, CCN 111306
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

Merit-based Incentive Payment System (MIPS)

Final score
54.22 of 100Reported as group
Quality
71.46
Promoting interoperability
0
Improvement activities
40
Cost
59.28

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion47
Laminectomy or laminotomy (partial removal of spine bones)33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050479GAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery of the Spine CurrentSince May 25, 2015 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery of the Spine Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery of the Spine CurrentSince May 25, 2015 Accepting new patients
Tattnall Hospital Company, LLC CurrentSince Mar 1, 2016 Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company LLC Past Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111

8 N Williams St
Metter, GA 30439
Phone (912) 685-3550

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

60 Exchange St
Ste B1
Richmond Hill, GA 31324
Phone (912) 756-2273

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155

1724 Old Reynolds St
#B
Waycross, GA 31501

Interoperability endpoints

  • Direct secure messaging: bradley.heiges.1@16403.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optim Medical Center TattnallReidsville, GA, CCN 111323 Hospital 5% Or Greater Indirect Ownership Interest Jan 2, 2009
Optim Medical Center - TattnallReidsville, GA, CCN 11Z323 Hospital 5% Or Greater Indirect Ownership Interest Jan 2, 2009
Optim Primary Care- ReidsvilleReidsville, GA, CCN 118508 Rural health clinic 5% Or Greater Indirect Ownership Interest Jan 1, 2009
Optim Primary Care-GlennvilleGlennville, GA, CCN 118511 Rural health clinic 5% Or Greater Indirect Ownership Interest Jan 1, 2009
Optim Primary Care - MetterMetter, GA, CCN 118512 Rural health clinic 5% Or Greater Indirect Ownership Interest (5.59%) Dec 1, 2008

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1871565481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Mulberry Blvd, Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-748-5111",
            "fax_number": "912-748-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Towne Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265167",
            "country_code": "US",
            "telephone_number": "912-826-2533",
            "fax_number": "912-826-2572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450101",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394547",
            "country_code": "US",
            "telephone_number": "912-685-3550",
            "fax_number": "912-685-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-739-3275",
            "fax_number": "912-439-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Exchange St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313247646",
            "country_code": "US",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIGES",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "050479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00916132A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000916132I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.