Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HEIDI JOY TRUJILLO NP-C
NPI 1255888053
Nurse Practitioner - Family in Dalton, GA

Q: What is Heidi Trujillo's NPI number?

The NPI number for Heidi Trujillo is 1255888053. It was assigned to this individual provider in the NPPES registry on September 8, 2016. The provider is also known as Heidi Joy Davenport.

Q: What is Heidi Trujillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Trujillo was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 08, 2016PECOS Enrolled

1107 MEMORIAL DR STE G2, DALTON, GA 30720(706) 529-3245(706) 272-6077 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Heidi Joy Trujillo Np-c NPPES

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

HEIDI JOY TRUJILLO NP-C (NPI 1255888053) is an individual family provider in Dalton, Georgia, licensed in Georgia (RN251007) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255888053

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI JOY TRUJILLOCredential: NP-C

Location Address1107 MEMORIAL DR STE G2Dalton, GA 30720-8662

Mailing Address1107 Memorial Dr Ste G2Dalton, GA 30720-8662 · (706) 529-3245 · Fax (706) 272-6077

Phone(706) 529-3245

Fax(706) 272-6077

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 8, 2016

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1255888053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN251007

1107 MEMORIAL DR STE G2, Dalton, GA 30720

Open in Google Maps ↗

Other Names 1

Former Name (1)Heidi Joy Davenport

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Heidi Joy Trujillo Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597232447

PECOS Enrollment IDI20260428002382

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 30720 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 19

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

DENA CHRISTINE BARRETT FNP-BC

Nurse Practitioner (Family)