MS. HEATHER H PEDRICK CNM
NPI 1780647768
Midwife in Kennesaw, GA
About Ms. Heather H Pedrick Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HEATHER H PEDRICK CNM (NPI 1780647768) is an individual midwife in Kennesaw, Georgia, licensed in Georgia (APRN-CNM117446) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Heather H Pedrick Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Heather Pedrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
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 Heather Pedrick's NPI number?
The NPI number for Heather Pedrick is 1780647768. It was assigned to this individual provider in the NPPES registry on April 10, 2006.
Where is Heather Pedrick located?
Heather Pedrick practices at 750 Townpark Ln NW, Kennesaw, GA 30144. The listed phone number is (404) 365-0966.
What is Heather Pedrick's specialty?
The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.
Is Heather Pedrick enrolled in Medicare?
Yes. Heather Pedrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Heather Pedrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Pedrick reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Heather Pedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Heather Pedrick was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Heather H Pedrick, CNM · NPI 1780647768
Midwife provider in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1780647768 (Entity type: Individual)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Midwife · taxonomy 176B00000X
- **State license:** APRN-CNM117446 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 TOWNPARK LN NW, Kennesaw, GA 30144-5579
- **Phone:** (404) 365-0966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** November 13, 2025
- **Other identifiers:** Medicaid 70654522 (CO); Other 026803 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1780647768) · Data from the CMS NPPES public registry.