Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HERITAGE MEDICAL MANAGEMENT GROUP LLC
NPI 1710858592
Surgery - Vascular Surgery in Atlanta, GA

Q: What is Heritage Medical Management Group LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since September 15, 2025

777 CLEVELAND AVE SW, ATLANTA, GA 30315(404) 755-2291(732) 347-3388 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Apr 28, 2026, Feb 7, 2026 and 2 more (5 updates tracked since 2025).

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About Heritage Medical Management Group Llc NPPES

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

HERITAGE MEDICAL MANAGEMENT GROUP LLC (NPI 1710858592) is a healthcare organization registered as a vascular surgery in Atlanta, Georgia and active in the NPI registry since September 2025. The organization lists Steve O Odeh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710858592

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameHERITAGE MEDICAL MANAGEMENT GROUP LLC

Location Address777 CLEVELAND AVE SWAtlanta, GA 30315-7129

Mailing Address777 Cleveland Ave SwAtlanta, GA 30315-7129 · (678) 621-0421 · Fax (732) 347-3388

Phone(404) 755-2291

Fax(732) 347-3388

Organization SubpartNo

Authorized OfficialSteve O OdehCeo · (404) 242-9621

Enumeration DateSeptember 15, 2025

Last NPPES UpdateAugust 24, 20265 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1710858592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

777 CLEVELAND AVE SW, Atlanta, GA 30315

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MS. CHRISTINE NICOLE SWAFFORD M.S., R.D., L.D.

Dietitian, Registered (Nutrition, Renal)

777 CLEVELAND AVE SW, SUITE 516
ATLANTA, GA 30315

Fulton County (404) 761-0819

SURGICAL HEALTH COLLECTIVE

Specialist

777 CLEVELAND AVE SW, SUITE 305
ATLANTA, GA 30315

Fulton County (404) 761-7482

XUANDAO L NGUYEN OD

Optometrist

777 CLEVELAND AVE SW, STE 616
ATLANTA, GA 30315

Fulton County (404) 766-6268

ALPHA HEALTHCARE SYSTEM INC

Skilled Nursing Facility

777 CLEVELAND AVE SW, SUITE 306
ATLANTA, GA 30315

Fulton County (404) 530-2916

GEORGIA HEART CENTER LLC

General Practice

777 CLEVELAND AVE SW, SUITE 701
ATLANTA, GA 30315

Fulton County (770) 639-3429

MR. ERIC ALEXANDER LOHMAN LCSW

Social Worker (Clinical)

777 CLEVELAND AVE SW, SUITE 316
ATLANTA, GA 30315

Fulton County (404) 228-2222

SOUTH FULTON MEDICAL CENTER, LLC

Chiropractor (Rehabilitation)

777 CLEVELAND AVE SW, SUITE 406
ATLANTA, GA 30315

Fulton County (404) 761-0332

LIFE ENHANCEMENT SERVICES, INC.

Community/Behavioral Health

777 CLEVELAND AVE SW, SUITE 516
ATLANTA, GA 30315

Fulton County (404) 767-7855

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 Heritage Medical Management Group LLC's NPI number?

The NPI number for Heritage Medical Management Group LLC is 1710858592. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Heritage Medical Management Group LLC located?

Heritage Medical Management Group LLC is located at 777 Cleveland Ave SW, Atlanta, GA 30315. The listed phone number is (404) 755-2291.

What is Heritage Medical Management Group LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Heritage Medical Management Group LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.