Individual provider Active NPI

Nicole Leigh Heidemann, MD

  • Obstetrics & Gynecology Physician
  • Nashville, TN
National Provider Identifier
1922155803
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42708 Issued in TN
Practice address
2201 Murphy Ave Ste 407
Nashville, TN 37203-1864
Phone
(615) 342-6880
Fax
(615) 986-5959
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42708 TN Primary

Addresses

Primary practice location

2201 Murphy Ave Ste 407
Nashville, TN 37203-1864

Mailing address

2201 Murphy Ave Ste 407
Nashville, TN 37203-1864
Phone (615) 342-6880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NICOLE.HEIDEMANN@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000795 TN Practitioner - Obstetrics/Gynecology 6507919677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Womens Group, LLCGroup PAC ID 4789938721, 16 clinicians

Practice addresses (Care Compare)

330 23Rd Ave N
Suite 250
Nashville, TN 37203-1534
Phone (615) 342-6880

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42708TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Womens Group, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

330 23rd Ave N
Ste 250
Nashville, TN 37203
Phone (615) 327-7470

2201 Murphy Ave
Ste 407
Nashville, TN 37203
Phone (615) 342-6880

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1922155803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 407",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031864",
            "telephone_number": "615-342-6880",
            "fax_number": "615-986-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 407",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031864",
            "telephone_number": "615-342-6880",
            "fax_number": "615-986-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEMANN",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "42708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE.HEIDEMANN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2201 Murphy Ave Ste 407",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.