AMY K HEESACKER, PHD, LLC
NPI 1487250049
Point of Service in Watkinsville, GA
About Amy K Heesacker, Phd, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY K HEESACKER, PHD, LLC (NPI 1487250049) is a healthcare organization registered as a point of service in Watkinsville, Georgia and active in the NPI registry since December 2020. The organization lists Amy K Heesacker, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy K Heesacker, Phd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Amy K Heesacker, Phd, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Watkinsville, GA 30677
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Amy K Heesacker, Phd, LLC's NPI number?
The NPI number for Amy K Heesacker, Phd, LLC is 1487250049. It was assigned to this organization in the NPPES registry on December 9, 2020.
Where is Amy K Heesacker, Phd, LLC located?
Amy K Heesacker, Phd, LLC is located at 1551 Jennings Mill Rd Unit 2000B, Watkinsville, GA 30677. The listed phone number is (706) 460-3105.
What is Amy K Heesacker, Phd, LLC's specialty?
The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.
Is Amy K Heesacker, Phd, LLC enrolled in Medicare?
Yes. Amy K Heesacker, Phd, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amy K Heesacker, Phd, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Amy K Heesacker, Phd, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amy K Heesacker, Phd, LLC was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amy K Heesacker, Phd, Llc · NPI 1487250049
Point of Service organization in Watkinsville, Georgia. Organization record, active in the CMS NPPES registry since December 9, 2020.
## Identity
- **NPI:** 1487250049 (Entity type: Organization)
- **Enumerated:** December 9, 2020
- **Primary specialty:** Point of Service · taxonomy 305S00000X
- **Organization subpart:** No
- **Authorized official:** Amy Heesacker, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 1551 JENNINGS MILL RD UNIT 2000B, Watkinsville, GA 30677-7252
- **Phone:** (706) 460-3105
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1487250049) · Data from the CMS NPPES public registry.