P Praxis·MD
● Active Type 1 · Individual

DR. Glenn Craig Heigerick, DO

Family Medicine·Lilburn, GA· NPI 1487715298 · Enumerated 2006 · 19 years on NPI
Heigerick is 1 of 34 family medicine providers in Lilburn and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-12-13
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-12-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
615 Beaver Ruin Rd Nw, Suite B
Lilburn, GA 300473401
📞 7709358616fax 7709358549
Mailing address
615 Beaver Ruin Rd Nw Ste B
Lilburn, GA 300473401
📞 7709358616fax 7709358549

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #024947 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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