Individual provider Active NPI

Heather Venrick, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1881065878
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
263184 Issued in NC
Practice address
9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone
(866) 389-2727
NPI assigned
Oct 15, 2015
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN325817 GA
Family Nurse Practitioner 363LF0000X 263184 NC Primary

Addresses

Primary practice location

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930

Mailing address

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone (866) 389-2727

Other practice location 1

110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313
Phone (770) 304-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151219000042 NC Practitioner - Nurse Practitioner 3870894603 Reassigns benefits to 1 organization
I20250110000724 GA Practitioner - Nurse Practitioner 3870894603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

105 Fischer Marketplace LN
Suite 100
Sharpsburg, GA 30277-3680
Phone (678) 633-3260

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

1401 Georgian Park
Suite 200
Peachtree City, GA 30269-6974
Phone (770) 632-8909

730 Glynn St S
Fayetteville, GA 30214-2050
Phone (770) 460-3650

7990 Wells St
Suite 100
Senoia, GA 30276-2267
Phone (470) 947-6010

9 Arbor Springs Ter
Suite 500
Newnan, GA 30265-4214
Phone (770) 400-7270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN325817GAMDNurse Practitioner
263184NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree City Urgent Care, Inc CurrentSince Dec 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 5, 2024 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Feb 3, 2025 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

110 Oak Hill Blvd
Ste 200
Newnan, GA 30265
Phone (770) 304-0987

8 Eastbrook Bnd
#B
Peachtree Cty, GA 30269
Phone (770) 487-2273

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 3

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 3

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1881065878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168930",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168930",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Oak Hill Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652313",
            "country_code": "US",
            "telephone_number": "770-304-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENRICK",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN325817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "263184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.