HEATHER ANTHONY NP
NPI 1275247405
Nurse Practitioner - Family in Decatur, GA
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
Specialties & Licenses
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.
Medicare Billing Reassignments
4Medicare 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.
Mcdonough, GA 30253
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Lawrenceville, GA 30044
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
Flowery Branch, GA 30542
- Reassigned Medicare billing, Georgia enrollment
- 24 clinicians in this Medicare group
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, GAEmory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician 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.
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.
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.