MRS. OCTAVIA MOORE HEDGE FNP-BC
NPI 1174164289
Nurse Practitioner - Primary Care in Austell, GA

Q: What is Octavia Hedge's NPI number?

The NPI number for Octavia Hedge is 1174164289. It was assigned to this individual provider in the NPPES registry on October 1, 2019. The provider is also known as Octavia Moore-Hedge.

Q: What is Octavia Hedge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Octavia Hedge was last updated on November 29, 2019. 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.

Active since October 01, 2019

1707 BLAIR BRIDGE RD, AUSTELL, GA 30168(678) 945-0700 Get Directions Write a Review

NPPES record last updated: November 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2019, Oct 1, 2019 (2 updates tracked since 2019).

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About Mrs. Octavia Moore Hedge Fnp-bc NPPES

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

MRS. OCTAVIA MOORE HEDGE FNP-BC (NPI 1174164289) is an individual primary care provider in Austell, Georgia, licensed in Georgia (RN-147913-NP) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1174164289

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. OCTAVIA MOORE HEDGECredential: FNP-BC

Location Address1707 BLAIR BRIDGE RDAustell, GA 30168-5537

Mailing Address8601 Baldwin Pkwy Ste 100Douglasville, GA 30134-5626 · (678) 948-8753

Phone(678) 945-0700

Sole ProprietorNo

Enumeration DateOctober 1, 2019

Last NPPES UpdateNovember 29, 20192 updates tracked since enumeration

✔ NPI 1174164289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in GA · RN-147913-NP

1707 BLAIR BRIDGE RD, Austell, GA 30168

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Other Names 1

Other Name (5)Octavia Moore-hedge

Other Providers at the Same Location NPPES

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

VIEW POINT BEHAVIORAL HEALTH

Clinical Nurse Specialist (Psychiatric/Mental Health)

1707 BLAIR BRIDGE RD
AUSTELL, GA 30168

Cobb County (404) 975-2552

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 Octavia Hedge's NPI number?

The NPI number for Octavia Hedge is 1174164289. It was assigned to this individual provider in the NPPES registry on October 1, 2019. The provider is also known as Octavia Moore-Hedge.

Where is Octavia Hedge located?

Octavia Hedge practices at 1707 Blair Bridge Rd, Austell, GA 30168. The listed phone number is (678) 945-0700.

What is Octavia Hedge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Octavia Hedge was last updated on November 29, 2019. 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.