Individual provider Active NPI

Heather Calhoun Quaile, NP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1881963122
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN234874 Issued in GA
Practice address
3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461
Phone
(678) 673-3953
Fax
(678) 487-3953
NPI assigned
Dec 15, 2011
Last updated
Jun 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN234874 GA Primary

Addresses

Primary practice location

3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461

Mailing address

411 Wild Iris LN
Powder Springs, GA 30127-6282
Phone (757) 470-4863

Other practice location 1

3405 Dallas Hwy SW Ste 200
Marietta, GA 30064-6426
Phone (844) 848-6796

Other practice location 2

1275 Shiloh Rd NW Ste 2031
Kennesaw, GA 30144-7199
Phone (678) 673-3953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 25, 2025 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN234874GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Qubed Health Services Current Accepting new patients
Bamp Clinics Georgia, LLC PastSince Jun 16, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.quaile@411680729333764.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1881963122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WILD IRIS LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276282",
            "telephone_number": "757-470-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 S CHEROKEE LN BLDG 1000",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "678-673-3953",
            "fax_number": "678-487-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Dallas Hwy SW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300646426",
            "country_code": "US",
            "telephone_number": "844-848-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Shiloh Rd NW Ste 2031",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447199",
            "country_code": "US",
            "telephone_number": "678-673-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAILE",
        "first_name": "HEATHER",
        "middle_name": "CALHOUN",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN234874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.