HEATHER DALE TWYNHAM NP
NPI 1366910416
Nurse Practitioner - Gerontology in Atlanta, GA

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(478) 633-6633 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2025, Jul 18, 2023, Nov 7, 2018 (3 updates tracked since 2018).

About Heather Dale Twynham Np NPPES

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

HEATHER DALE TWYNHAM NP (NPI 1366910416) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (RN245868) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1366910416
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHEATHER DALE TWYNHAMCredential: NP
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateNovember 7, 2018
Last NPPES UpdateOctober 11, 20253 updates tracked since enumeration
NPPES CertifiedOctober 11, 2025
NPI 1366910416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in GA · RN245868
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN245868 (GA)
1364 CLIFTON RD NE, Atlanta, GA 30322

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Dale Twynham 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 ID8325386311
PECOS Enrollment IDI20190218001299
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Twynham's NPI number?

The NPI number for Heather Twynham is 1366910416. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Heather Twynham located?

Heather Twynham practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (478) 633-6633.

What is Heather Twynham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Heather Twynham enrolled in Medicare?

Yes. Heather Twynham 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.

Is Heather Twynham affiliated with any hospitals?

According to CMS data, Heather Twynham is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Heather Twynham was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.