Maria Del Carmen Herrera, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12735 Issued in GA

Practice address

930 Ashland Park Way
Lawrenceville, GA 30045-6807

Phone

(678) 943-7100

NPI assigned

Aug 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Medlink Georgia, Inc

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1669951414
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1891529319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 OAKBROOK PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932256",
            "telephone_number": "770-806-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ASHLAND PARK WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456807",
            "telephone_number": "678-943-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn C Hernandez
• Marbella Hernandez
• Ranti Hernandez
• James Herndon, RPH
• Daisy M. Herrera, LPC, CAC
• Amy H Hersh, RPH
• Madison Hetzler, DPT
• Kristen Roach Heuerman, APRN, CNM
• Leonie Tamara Hewling, LPN
• Henok Heyes

• Medical Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.

Verify at the official NPI Registry.