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ALLISON LEIGH HEDDEN PA-C
NPI 1154895332
Physician Assistant - Surgical in Gainesville, GA

Active since January 21, 2019PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 533-7288(770) 534-9800 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Oct 6, 2022, Aug 27, 2021 and 3 more (6 updates tracked since 2019).

About Allison Leigh Hedden Pa-c NPPES

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

ALLISON LEIGH HEDDEN PA-C (NPI 1154895332) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (9193) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1154895332
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALLISON LEIGH HEDDENCredential: PA-C
Location Address655 JESSE JEWELL PKWY SEGainesville, GA 30501-3854
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786
Phone(770) 533-7288
Fax(770) 534-9800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 21, 2019
Last NPPES UpdateApril 11, 20236 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1154895332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 9193
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 9193 (GA)
655 JESSE JEWELL PKWY SE, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 533-7288 · Fax (770) 534-9800
Location 21945 Beverly RdGainesville, GA 30501-2034 · Phone (770) 533-7288 · Fax (770) 534-9800
Location 3835 Austin DrDemorest, GA 30535-4513 · Phone (706) 754-8518 · Fax (706) 754-6238
Location 4801 Austin DrDemorest, GA 30535-4513 · Phone (706) 754-8066 · Fax (706) 754-6238
Location 51400 River PlBraselton, GA 30517-5600 · Phone (770) 533-7288 · Fax (770) 534-9800
Location 61270 Friendship RdBraselton, GA 30517-5608 · Phone (678) 207-4600 · Fax (678) 207-4601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allison Leigh Hedden Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911332614
PECOS Enrollment IDI20200126000050
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services81 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
35 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
22 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Promoting Interoperability87
Improvement Activities20
Cost72.14

Other Providers at the Same Location NPPES 20

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

KRISI APRIL PROBERT OT
Occupational Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
DR. MARLYN BETANCOURT D.M.D.
Dentist (General Practice)
655 JESSE JEWELL PKWY SE, SUITE E
GAINESVILLE, GA 30501
Hall County (770) 539-9110
MR. HUGH COLBY CORNELSON FNP-C
Nurse Practitioner (Family)
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 532-7092
ELIZABETH MARIE HAWKINS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
MRS. KAYLEIGH DYCHES BISKUP FNP-C
Nurse Practitioner
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4500
DONALD ROGER WILLERS M.D.
Orthopaedic Surgery
655 JESSE JEWELL PKWY SE, STE B
GAINESVILLE, GA 30501
Hall County (770) 532-7092
WILLIAM JARED JINKS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
DAVID RICHARDS ADAMSON PT
Physical Therapist
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 848-8448

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 Allison Hedden's NPI number?

The NPI number for Allison Hedden is 1154895332. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Allison Hedden located?

Allison Hedden practices at 655 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 533-7288.

What is Allison Hedden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Allison Hedden enrolled in Medicare?

Yes. Allison Hedden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Allison Hedden accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Allison Hedden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Allison Hedden affiliated with any hospitals?

According to CMS data, Allison Hedden is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham and Union General Hospital.

When was this NPI record last updated?

The NPPES record for Allison Hedden was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.