NPI age
19 years
Enumerated 2006-11-01
● Active Type 2 · Organization
Heritage Medical Care Llc
Heritage Medical Care Llc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Locke
Vp
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2160 Fountain Dr
Snellville, GA 300787022
Mailing address
2160 Fountain Dr
Snellville, GA 300787022
Authorized official
Chuck Locke
Vp
📞 6153737600
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Robin Boggess, NP Nurse Practitioner NPI 1235388935
- Amanda Childers Behavior Technician NPI 1568174811
- Melissa Gray, PMHNP Nurse Practitioner NPI 1457839219
- Jae Pak, M.D. Psychiatry & Neurology NPI 1740280551
- Kimberly Schiavoni, NP Nurse Practitioner NPI 1114308475
- Cathleen Scully, N.P. Nurse Practitioner NPI 1336129303
- Russell Wagner, M.D. Internal Medicine NPI 1730168832
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1881 Specialist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.