Active NPI
Felicia Amanda Heard, MPA
- Contractor
- Atlanta, GA
National Provider Identifier
1972013779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 17-37178
- Practice address
- 331 Darkwater CT SW
Atlanta, GA 30331-9472 - Phone
- (404) 414-4938
- NPI assigned
- Oct 5, 2017
- Last updated
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 17-37178 | GA | Primary |
Addresses
Primary practice location
331 Darkwater CT SW
Atlanta, GA 30331-9472
Mailing address
331 Darkwater CT SW
Atlanta, GA 30331-9472
Phone (404) 414-4938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-37178 | GA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1972013779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 DARKWATER CT SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319472",
"telephone_number": "404-414-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 DARKWATER CT SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319472",
"telephone_number": "404-414-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "FELICIA",
"middle_name": "AMANDA",
"credential": "MPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "GA",
"license": "17-37178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.