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

Active since September 15, 2025
507 ALABAMA AVE S, BREMEN, GA 30110(404) 755-2291(732) 347-3388 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Feb 7, 2026, Nov 24, 2025 and 1 more (4 updates tracked since 2025).

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 Bremen, Georgia and active in the NPI registry since September 2025. The organization maintains a secondary practice location in Atlanta and 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 Address507 ALABAMA AVE SBremen, GA 30110-2007
Mailing Address507 Alabama Ave SBremen, GA 30110-2007 · (404) 755-2291 · 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 UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 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.
507 ALABAMA AVE S, Bremen, GA 30110
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Secondary Practice Location 1

Location 1777 Cleveland Ave SWAtlanta, GA 30315-7129 · Phone (404) 755-2291 · Fax (732) 347-3388

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

Other Providers at the Same Location NPPES 3

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

HARALSON SPINAL CLINICS,INC.
Chiropractor
507 ALABAMA AVE S
BREMEN, GA 30110
Haralson County (770) 537-5555
AXIOM CHIROPRACTIC LLC
Chiropractor
507 ALABAMA AVE S
BREMEN, GA 30110
Haralson County (770) 537-5555
DR. RALPH J TEMPLETON DC
Chiropractor
507 ALABAMA AVE S, P O B 1184
BREMEN, GA 30110
Haralson County (770) 537-5555

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 507 Alabama Ave S, Bremen, GA 30110. 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 April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.