HEATHER FORD (MD) – Child & Adolescent Psychiatry Physician, NPI 1720369234

HEATHER FORD (MD) is a healthcare provider. based in Carrollton, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 85921 (GA). The NPI Number for HEATHER FORD (MD) is 1720369234

Main info

Female
11 Years Of Experience
Name
HEATHER FORD (MD)
NPI
1720369234
Phone
Not provided
Address
120 FRANCES PL
Enumeration Date
30 August 2011
Last Update Date
8 July 2020

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7708123580
Graduation Year
2015 (11 years ago)
PAC ID
3476861311
Group Practice PAC ID
2163714635
Professional Enrollment ID
I20200803002531
Address ID
GA301803201VI101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

Provider Addresses for HEATHER FORD (MD)

  • 120 FRANCES PL

    CARROLLTON, GA 301174332

    Phone:

    Type: Mailing

  • 523 DIXIE ST

    CARROLLTON, GA 301173870

    Phone: (770) 456-3266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($399).

Total Amount

$992

General + Research + Ownership

Payments

50

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200803002531IPsychiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163714635View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
Nurse PractitionerGA
P S Y C H I A T R YFL
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Nurse PractitionerGA
-AL
Ophthalmology, PsychiatryGA
Nurse PractitionerGA
-FL

Reviews

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Frequently asked questions

What number should I use to identify HEATHER FORD (MD) for billing?
Administrative and clinical systems typically use NPI 1720369234 for HEATHER FORD (MD).
Should I treat HEATHER FORD (MD) as an active provider?
Patients and plans typically see HEATHER FORD (MD) as active in the national extract.
How should patients interpret HEATHER FORD (MD)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for HEATHER FORD (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to HEATHER FORD (MD)?
HEATHER FORD (MD) is associated with Carrollton, Georgia in the same public data insurers reference.
Who maintains HEATHER FORD (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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