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CUSTOM HEALTHCARE LLC
NPI 1316268105
Clinic/Center - Multi-Specialty in Bishop, GA

Active since June 16, 2010
1540 GOBER RD, BISHOP, GA 30621(706) 207-1039 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Healthcare Llc NPPES

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

CUSTOM HEALTHCARE LLC (NPI 1316268105) is a healthcare organization registered as a multi-specialty in Bishop, Georgia and active in the NPI registry since June 2010. The organization lists Troy Allen Heidesch, Ceo/ Provider, as its authorized official.

NPPES Registry Identity

NPI1316268105
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCUSTOM HEALTHCARE LLC
Location Address1540 GOBER RDBishop, GA 30621-1685
Mailing Address1540 Gober RdBishop, GA 30621-1685 · (706) 207-1039
Phone(706) 207-1039
Organization SubpartNo
Authorized OfficialTroy Allen HeideschCeo/ Provider · (706) 207-1039
Enumeration DateJune 16, 2010
✔ NPI 1316268105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1540 GOBER RD, Bishop, GA 30621
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Other Identifiers 2

Medicare UPIN1215917182GA
Medicare UPIN1346229622GA

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 Custom Healthcare LLC's NPI number?

The NPI number for Custom Healthcare LLC is 1316268105. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Custom Healthcare LLC located?

Custom Healthcare LLC is located at 1540 Gober Rd, Bishop, GA 30621. The listed phone number is (706) 207-1039.

What is Custom Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Custom Healthcare LLC was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.