HEART MD
NPI 1558906396
Internal Medicine - Cardiovascular Disease in Eastman, GA

Active since November 15, 2019
1103 PLAZA AVE, EASTMAN, GA 31023(912) 536-7699 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2022, Nov 15, 2019 (2 updates tracked since 2019).

About Heart Md NPPES

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

HEART MD (NPI 1558906396) is a healthcare organization registered as a cardiovascular disease in Eastman, Georgia and active in the NPI registry since November 2019. The organization lists Justin Mccullough, Owner, as its authorized official.

NPPES Registry Identity

NPI1558906396
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART MD
Location Address1103 PLAZA AVEEastman, GA 31023-6788
Mailing Address731 Waverly PtMacon, GA 31210-7546 · (912) 536-7699
Organization SubpartNo
Authorized OfficialJustin McculloughOwner · (912) 536-7699
Enumeration DateNovember 15, 2019
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1558906396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1103 PLAZA AVE, Eastman, GA 31023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heart Md 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 Heart MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1245469519
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare52 mi

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 Heart MD's NPI number?

The NPI number for Heart MD is 1558906396. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Heart MD located?

Heart MD is located at 1103 Plaza Ave, Eastman, GA 31023. The listed phone number is (912) 536-7699.

What is Heart MD's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Heart MD enrolled in Medicare?

Yes. Heart MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Heart MD. 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.

What insurance does Heart MD accept?

Health plans from Alliant Health Plans, Inc. list Heart MD 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.

When was this NPI record last updated?

The NPPES record for Heart MD was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.