HEART OF GEORGIA RHEUMATOLOGY LLC – Rheumatology Physician, NPI 1013312040

HEART OF GEORGIA RHEUMATOLOGY LLC is a healthcare provider. based in Macon, Georgia. specializing in Rheumatology Physician. The organization holds a License No. 052700 (GA). The NPI Number for HEART OF GEORGIA RHEUMATOLOGY LLC is 1013312040

Main info

Organization
Name
HEART OF GEORGIA RHEUMATOLOGY LLC
NPI
1013312040
Phone
(478) 742-3704
Address
1508 HARDEMAN AVE STE A
Authorized Official
DR. NANNETTE R CROWLEY FOUNDING MEMBER MD
Enumeration Date
4 November 2014
Last Update Date
3 March 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for HEART OF GEORGIA RHEUMATOLOGY LLC

  • 1508 HARDEMAN AVE STE A

    MACON, GA 312011471

    Phone: (478) 742-3704

    Fax: (478) 738-8609

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-05-01

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
O20150501001276OClinic/Group PracticeGATBD

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 31201)

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Reviews

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Frequently asked questions

How is HEART OF GEORGIA RHEUMATOLOGY LLC identified in CMS data?
CMS-hosted NPPES data lists HEART OF GEORGIA RHEUMATOLOGY LLC with NPI 1013312040.
Does CMS list HEART OF GEORGIA RHEUMATOLOGY LLC as active?
Yes — HEART OF GEORGIA RHEUMATOLOGY LLC is active in the NPI listing used on this page.
What is HEART OF GEORGIA RHEUMATOLOGY LLC best known for clinically?
Directory data describes HEART OF GEORGIA RHEUMATOLOGY LLC with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for HEART OF GEORGIA RHEUMATOLOGY LLC?
HEART OF GEORGIA RHEUMATOLOGY LLC's geographic hint is Macon, Georgia in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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