HELLER FAMILY MEDICINE, LLC (NPI# 1831545508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831545508 |
| Entity Type | Organization |
| Organization Name | HELLER FAMILY MEDICINE, LLC |
| Practice Address |
208 Scranton Connector Ste 120 Brunswick GA 31525 |
| Mailing Address |
208 Scranton Connector Ste 120 Brunswick GA 31525-0561 |
| Practice Telephone | 9122642244 |
| Practice Fax Number | 4048554381 |
| Mailing Telephone | 9122642244 |
| Mailing Fax Number | 4048554381 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | HEATHER WINDERMAN (MANAGER) |
| Authorized Official Telephone | 9122642244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7967 Cincinnati Dayton Rd, West Chester, OH 450692026 | 5136850949 | 5132820946 |
| Street Address |
208 SCRANTON CONNECTOR STE 120 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790204709 | Jenny Fritcher Sharpe | Nurse Practitioner | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| 1306979000 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Hidden Lakes Drive, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098048 | Charity Christine Boree | Nurse Practitioner | 241 Huron Loop, Brunswick, GA 31523-3834 | 2019-08-17 |
| 1275037186 | Kimberly Vickery Lewis | Nurse Practitioner | 2500 Starling St Ste 504, Brunswick, GA 31520-4270 | 2018-03-23 |
| 1972052918 | Jordan F. Brown | Nurse Practitioner | 2500 Starling St Ste 506, Brunswick, GA 31520-4270 | 2016-10-03 |
| 1750779039 | Travis A Young | Nurse Practitioner | 114 Northpark Dr, Brunswick, GA 31520-2184 | 2015-01-08 |
| 1487735460 | Hallie E Prince | Nurse Practitioner | 329 Maine St Ste A200, Brunswick, ME 04011-3310 | 2006-10-18 |
| 1962009720 | Kimberly Claire Bell | Nurse Practitioner | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2020-10-05 |
| 1528684842 | Alisa Siulinski | Nurse Practitioner | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2020-06-23 |
| 1376011676 | Candice Joy Dutka | Nurse Practitioner | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2018-11-05 |
| 1790204709 | Jenny Fritcher Sharpe | Nurse Practitioner | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2017-09-12 |
| 1033662879 | Alexandra M Harvan | Nurse Practitioner | 3574 Center Rd, Brunswick, OH 44212-3618 | 2016-07-28 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.