Organization Active NPI

Heritage Medical Solutions, Inc.

  • Psychiatry Physician
  • Buford, GA
National Provider Identifier
1982880019
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
047776 Issued in GA
Legal business name
HERITAGE MEDICAL SOLUTIONS, INC.
Practice address
4330 South Lee Street
BLDG 600
Buford, GA 30518-5754
Phone
(678) 889-4944
Fax
(678) 889-4946
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mr. Steve Ajony, B.S./HND
Title
President/C.E.O
Phone
(678) 889-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 047776 GA Primary

Addresses

Primary practice location

4330 South Lee Street
BLDG 600
Buford, GA 30518-5754

Mailing address

4330 South Lee Street
BLDG 600
Buford, GA 30518-5754
Phone (678) 889-4944

Other identifiers 3

IdentifierTypeStateIssuer
1023170842OtherGANPI INDIVIDUAL
11662044OtherGACAQH
097274712AMedicaidGA

National Provider Directory

National Provider Directory

Locations

4319 S Lee St
Ste 300
Buford, GA 30518
Phone (678) 288-9770

4330 S Lee St
Ste 600
Buford, GA 30518
Phone (678) 889-4944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1982880019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SOUTH LEE STREET",
            "address_2": "BLDG 600",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185754",
            "telephone_number": "678-889-4944",
            "fax_number": "678-889-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SOUTH LEE STREET",
            "address_2": "BLDG 600",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185754",
            "telephone_number": "678-889-4944",
            "fax_number": "678-889-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "AJONY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O",
        "authorized_official_telephone_number": "678-889-4944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S./HND"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "047776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1023170842",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11662044",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097274712A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.