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DR. MARY DELPHINE HEATH MD, MPH
NPI 1164518569
Pediatrics in Winchester, TN

Active since October 04, 2006PECOS Enrolled
568 HOSPITAL RD, WINCHESTER, TN 37398(931) 962-3199(931) 967-7818 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Delphine Heath Md, Mph NPPES

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

DR. MARY DELPHINE HEATH MD, MPH (NPI 1164518569) is an individual pediatrics provider in Winchester, Tennessee, licensed in Tennessee (45115) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164518569
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY DELPHINE HEATHCredential: MD, MPH
Location Address568 HOSPITAL RDWinchester, TN 37398-2409
Mailing Address568 Hospital RdWinchester, TN 37398-2409 · (931) 962-3199 · Fax (931) 967-7818
Phone(931) 962-3199
Fax(931) 967-7818
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1164518569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 45115
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
568 HOSPITAL RD, Winchester, TN 37398
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Other Identifiers 2

Medicaid1515467TN
Other1871997841TN · Group Npi (sewanee Pediatrics)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State 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 (PECOS)

Dr. Mary Delphine Heath Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37398 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MRS. HALLIE RUANE THUENEN CRNP PNP-PC
Nurse Practitioner (Pediatrics)
568 HOSPITAL RD
WINCHESTER, TN 37398
Franklin County (931) 962-3199

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 Mary Heath's NPI number?

The NPI number for Mary Heath is 1164518569. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mary Heath located?

Mary Heath practices at 568 Hospital Rd, Winchester, TN 37398. The listed phone number is (931) 962-3199.

What is Mary Heath's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Heath enrolled in Medicare?

Yes. Mary Heath is registered in the Medicare PECOS enrollment system.

What insurance does Mary Heath accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 3 other insurers list Mary Heath 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.

When was this NPI record last updated?

The NPPES record for Mary Heath was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.