Heidi C Gonzalez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN121140 Issued in GA

Practice address

4233 Camelot Xing
Valdosta, GA 31602-6926

Phone

(229) 469-4383

Fax

(229) 469-4584

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Bethany Hospice and Palliative Care, LLCGroup PAC ID 1052409414, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heidi.gonzalez@4247.securemail.prognocis.com

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.

• Bethany Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Valdosta, GA
  • NPI 1972709160
  Medicare reassignment Care Compare group NPD
• Peachtree Hospice of Georgia, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1255788436
  Medicare reassignment NPD
• Thacker Dermatology LLC

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1326347238
  Medicare reassignment NPD
• Dermatology Associates of Tallahassee, PA

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1730567504
  NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1962393744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 CAMELOT XING",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026926",
            "telephone_number": "229-469-4383",
            "fax_number": "229-469-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 CAMELOT XING",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026926",
            "telephone_number": "229-469-4383",
            "fax_number": "229-469-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 N Oak St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025903",
            "country_code": "US",
            "telephone_number": "229-249-8687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HEIDI",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN121140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Gayle Goin, LPC
• Golden Services Personal Care Home
• Stormi C Golden
• Wendy Golden, ED.S
• Albert Gonzalez-Acevedo, M.D.
• Melody B Goodson, CCC - SLP
• Luana Nona Goodwin, RPH
• Ruthie Bea Goodwin
• Sheri Gordon, RPH
• Victoria Lenore Gordon, CNM

• Family Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.