Active NPI
Poneh Heine, MD
- Allergy & Immunology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 067409
- Practice address
- 565 Old Norcross Rd
Lawrenceville, GA 30046 - Phone
- (770) 995-5131
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL31880 | SC | |
| Allergy & Immunology Physician | 207K00000X | 067409 | GA | Primary |
Addresses
Primary practice location
565 Old Norcross Rd
Lawrenceville, GA 30046
Mailing address
6701 Baum Dr Ste 140
Knoxville, TN 37919-7361
Phone (865) 584-5727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2076 Ingleside Ave
Macon, GA 31204-2028
Phone (478) 254-8305
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.55 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067409 | GA | MD | Allergy & Immunology Physician |
| LL31880 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Allergy & Asthma Center, LLC | Allergy & Immunology | Current | Accepting new patients |
| Allergy Associates, PA | Current | Accepting new patients | |
| Allergy Associates, PA | Allergy & Immunology | Current | Accepting new patients |
Locations
528 Broad St SE
#B
Gainesville, GA 30501
Phone (770) 287-0290
565 Old Norcross Rd
Ste 101
Lawrenceville, GA 30046
Phone (770) 995-5131
565 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 962-5040
2076 Ingleside Ave
Macon, GA 31204
Phone (478) 254-8305
3951 Ridge Ave
Ste C
Macon, GA 31210
Phone (478) 254-8305
140 Osigian Blvd
Ste 400
Warner Robins, GA 31088
Phone (478) 254-8305
6701 Baum Dr
Ste 140
Knoxville, TN 37919
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 and National Provider Directory roles.
-
dba The Allergy, Asthma & Sinus Center, PC
- Allergy & Immunology Physician
- Macon, GA
- NPI 1518242601
-
- Allergy & Immunology Physician
- Lawrenceville, GA
- NPI 1467671305
-
dba The Allergy Asthma and Sinus Center
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1932566734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1881822492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 BAUM DR STE 140",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197361",
"telephone_number": "865-584-5727",
"fax_number": "865-450-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "770-995-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINE",
"first_name": "PONEH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL31880",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "067409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.