Individual provider Active NPI

Diego Gabriel Espinosa Heidmann, M.D.

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1891913380
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40446 Issued in SC
Practice address
10 Enterprise Blvd Ste 111
Greenville, SC 29615-3534
Phone
(864) 654-6706
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 40446 SC Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 40446 SC

Addresses

Primary practice location

10 Enterprise Blvd Ste 111
Greenville, SC 29615-3534

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

273 Harrison Bridge Rd
Simpsonville, SC 29680-7132
Phone (864) 654-6706

Other practice location 2

360 Pelham Rd
Greenville, SC 29615-3111
Phone (864) 657-6706

Other practice location 3

1 Halton Green Way
Greenville, SC 29607-6606
Phone (864) 657-6706

Other practice location 4

322 Union Station Dr
Seneca, SC 29678-4547
Phone (864) 654-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110406000627 GA Practitioner - Ophthalmology 5496806879 Reassigns benefits to 3 organizations
I20170404001949 SC Practitioner - Ophthalmology 5496806879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40446SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Retina Center PC Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
Clemson Eye, PA Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Apr 1, 2011 Accepting new patients
Aiken Pharmacy LLC CurrentSince Aug 17, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Apr 1, 2011 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Palmetto Retina Center LLC Ophthalmology PastSince May 1, 2017 Accepting new patients
Clemson Eye, PA PastSince Jul 1, 2026 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#2320
Augusta, GA 30912

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

3685 Wheeler Rd
Ste 201
Augusta, GA 30909
Phone (706) 650-0061

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

410 University Pkwy
Ste 1500A
Aiken, SC 29801
Phone (803) 262-5020

1 Halton Green Way
Greenville, SC 29607
Phone (864) 657-6706

360 Pelham Rd
Greenville, SC 29615
Phone (864) 622-5009

322 Union Station Dr
Seneca, SC 29678

273 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 657-6706

Interoperability endpoints

  • Direct secure messaging: diego.espinosa.p4@direct.clemsoneye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1891913380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-654-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807132",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153111",
            "country_code": "US",
            "telephone_number": "864-657-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Halton Green Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076606",
            "country_code": "US",
            "telephone_number": "864-657-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Union Station Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296784547",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOSA HEIDMANN",
        "first_name": "DIEGO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "40446",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "40446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.