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DR. JACK DAVID HENEISEN M.D.
NPI 1447310115
Family Medicine in Rincon, GA

Active since December 11, 2006PECOS Enrolled
1214 N COLUMBIA AVE., UNIT D, RINCON, GA 31326(912) 826-2132(912) 826-2141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack David Heneisen M.d. NPPES

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

DR. JACK DAVID HENEISEN M.D. (NPI 1447310115) is an individual family medicine provider in Rincon, Georgia, licensed in Georgia (022780) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447310115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK DAVID HENEISENCredential: M.D.
Location Address1214 N COLUMBIA AVE., UNIT DRincon, GA 31326
Mailing AddressPo Box 2089Rincon, GA 31326-2089 · (912) 826-2132 · Fax (912) 826-2141
Phone(912) 826-2132
Fax(912) 826-2141
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447310115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 022780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1214 N COLUMBIA AVE., Rincon, GA 31326
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Other Identifiers 1

Medicare UPIND40117GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack David Heneisen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 31326 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.

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 Jack Heneisen's NPI number?

The NPI number for Jack Heneisen is 1447310115. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jack Heneisen located?

Jack Heneisen practices at 1214 N Columbia Ave. Unit D, Rincon, GA 31326. The listed phone number is (912) 826-2132.

What is Jack Heneisen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Heneisen enrolled in Medicare?

Yes. Jack Heneisen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Heneisen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.