HERITAGE PHYSICIAN SERVICES, LLC
NPI 1003321969
Emergency Medicine in Columbus, GA
About Heritage Physician Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE PHYSICIAN SERVICES, LLC (NPI 1003321969) is a healthcare organization registered as an emergency medicine in Columbus, Georgia and active in the NPI registry since December 2017. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heritage Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
171Medicare enrollment records show 171 clinicians reassign Medicare billing to Heritage Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 50 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 171Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heritage Physician Services, LLC's NPI number?
The NPI number for Heritage Physician Services, LLC is 1003321969. It was assigned to this organization in the NPPES registry on December 13, 2017.
Where is Heritage Physician Services, LLC located?
Heritage Physician Services, LLC is located at 100 Frist Ct, Columbus, GA 31909. The listed phone number is (706) 494-2100.
What is Heritage Physician Services, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Heritage Physician Services, LLC enrolled in Medicare?
Yes. Heritage Physician Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heritage Physician Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 7 Medicare specialties reassign their Medicare billing to Heritage Physician Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (116), Nurse Practitioner (40) and Family Practice (10). Of these, 50 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heritage Physician Services, LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heritage Physician Services, Llc · NPI 1003321969
Emergency Medicine organization in Columbus, Georgia. Organization record, active in the CMS NPPES registry since December 13, 2017.
## Identity
- **NPI:** 1003321969 (Entity type: Organization)
- **Enumerated:** December 13, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 100 FRIST CT, Columbus, GA 31909-3578
- **Phone:** (706) 494-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 171 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (116), Nurse Practitioner (40), Family Practice (10); 50 practice within 10 miles; [full list](https://npiprofile.com/npi/1003321969/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003321969) · Data from the CMS NPPES public registry.