HEATHER ANTHONY NP
NPI 1275247405
Nurse Practitioner - Family in Decatur, GA

Active since January 11, 2023PECOS EnrolledAccepts Medicare Assignment
4153B FLAT SHOALS PKWY STE 200, DECATUR, GA 30034(404) 585-5049(404) 591-0292 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Jun 27, 2025, Mar 12, 2025 and 2 more (5 updates tracked since 2023).

About Heather Anthony Np NPPES

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

HEATHER ANTHONY NP (NPI 1275247405) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN277850) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275247405
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER ANTHONYCredential: NP
Location Address4153B FLAT SHOALS PKWY STE 200Decatur, GA 30034-4189
Mailing AddressPo Box 1901Lithonia, GA 30058-1029 · (270) 933-0020
Fax(404) 591-0292
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 11, 2023
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1275247405 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 · RN277850
4153B FLAT SHOALS PKWY STE 200, Decatur, GA 30034

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Anthony Np 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 ID8820463631
PECOS Enrollment IDI20230410001447
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Heather Anthony reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
345 HUNTINGTON PLACE CT STE 200
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
  • 25 clinicians in this Medicare group
Internal Medicine
965 OAKLAND ROAD, BLDG 3 STE D & E
Lawrenceville, GA 30044
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
Family Medicine
2129 FRIENDSHIP RD STE 200
Flowery Branch, GA 30542
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30034 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

Family Medicine
4153B FLAT SHOALS PKWY STE 200
DECATUR, GA 30034
Physician Assistant (Medical)
4153B FLAT SHOALS PKWY STE 200
DECATUR, GA 30034

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 Anthony's NPI number?

The NPI number for Heather Anthony is 1275247405. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Heather Anthony located?

Heather Anthony practices at 4153B Flat Shoals Pkwy Ste 200, Decatur, GA 30034. The listed phone number is (404) 585-5049.

What is Heather Anthony's specialty?

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

Is Heather Anthony enrolled in Medicare?

Yes. Heather Anthony 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.

Which organizations bill Medicare for Heather Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Anthony reassigns Medicare benefits to 4 organizations: Medlife Urgent Care LLC (Mcdonough, GA), Zam Zam Family Clinic LLC (Lawrenceville, GA), Medlife Healthcare LLC (Flowery Branch, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Anthony accept?

Health plans from Oscar Health list Heather Anthony 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 Heather Anthony affiliated with any hospitals?

According to CMS data, Heather Anthony is affiliated with Emory University Hospital, Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Heather Anthony was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.