Active NPI
Heritage Medical Solutions, Inc.
- Psychiatry Physician
- Buford, GA
National Provider Identifier
1982880019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 047776
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023170842 | Other | GA | NPI INDIVIDUAL |
| 11662044 | Other | GA | CAQH |
| 097274712A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Winder, GA
- NPI 1023170842
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.