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HEATHER BUCKLEY PA-C
NPI 1083894539
Physician Assistant - Medical in Atlanta, GA

Active since November 13, 2007PECOS Enrolled
1400 TULLIE CIRCLE SE, ATLANTA, GA 30329(404) 785-1161(404) 553-9789 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2022, Jun 29, 2021, Dec 3, 2015 (3 updates tracked since 2015).

About Heather Buckley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER BUCKLEY PA-C (NPI 1083894539) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (5204) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083894539
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEATHER BUCKLEYCredential: PA-C
Location Address1400 TULLIE CIRCLE SEAtlanta, GA 30329
Mailing Address1400 Tullie Circle SeAtlanta, GA 30329 · (404) 785-1161 · Fax (404) 553-9789
Phone(404) 785-1161
Fax(404) 553-9789
Sole ProprietorNo
Enumeration DateNovember 13, 2007
Last NPPES UpdateJune 10, 20223 updates tracked since enumeration
✔ NPI 1083894539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 5204
1400 TULLIE CIRCLE SE, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Buckley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MARIE ALFORS CPNP
Nurse Practitioner
1400 TULLIE CIRCLE SE
ATLANTA, GA 30329
Dekalb County (404) 785-1161

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 Heather Buckley's NPI number?

The NPI number for Heather Buckley is 1083894539. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Heather Buckley located?

Heather Buckley practices at 1400 Tullie Circle SE, Atlanta, GA 30329. The listed phone number is (404) 785-1161.

What is Heather Buckley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Buckley enrolled in Medicare?

Yes. Heather Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Buckley was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.