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HEATHER MCLAUGHLIN APRN
NPI 1861032187
Nurse Practitioner - Family in Carrollton, GA

Active since January 14, 2020PECOS Enrolled
497 ROME ST, CARROLLTON, GA 30117(770) 462-1047 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2022, Aug 29, 2022, Sep 3, 2020 and 1 more (4 updates tracked since 2020).

About Heather Mclaughlin Aprn NPPES

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

HEATHER MCLAUGHLIN APRN (NPI 1861032187) is an individual family provider in Carrollton, Georgia, licensed in Georgia (RN204752) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cartersville.

NPPES Registry Identity

NPI1861032187
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MCLAUGHLINCredential: APRN
Location Address497 ROME STCarrollton, GA 30117-3108
Mailing Address497 Rome StCarrollton, GA 30117-3108 · (770) 462-1047
Phone(770) 462-1047
Sole ProprietorYes
Enumeration DateJanuary 14, 2020
Last NPPES UpdateNovember 10, 20224 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1861032187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN204752✔ Licensed in KY · 3014204
Also ListedFamily MedicineTaxonomy 207Q00000X · License 3014204 (KY), RN204752 (GA)
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License RN204752 (GA)
497 ROME ST, Carrollton, GA 30117
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Market Place BlvdCartersville, GA 30121-8718 · Phone (678) 290-4817

Other Identifiers 1

Medicaid1861032187KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Mclaughlin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Mclaughlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Homestead Hospice Of Lawrencesville, LLC
Same address
Clinic/Center
497 ROME ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Traditions Hospice Of Lawrenceville LLC
  • 8 clinicians in this Medicare group
NPI 1336864875 (770) 462-1047
Hardy Renew Wellness,llc
38 mi
Internal Medicine
838 CANNON RUN SW
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1952914368 (423) 443-9956
Georgia Mso LLC
45 mi
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group
NPI 1952196164 (212) 734-6621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,639 services126 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
746 services107 patients
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month 99437
Chronic care management services involve regular check-ups, medication management, and health guidance for patients with two or more long-term health conditions. This specific service provides an additional 30 minutes of personal attention from a healthcare professional each month.
388 services86 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
154 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
98 services70 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

HOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC
Clinic/Center
497 ROME ST
CARROLLTON, GA 30117
Carroll County (770) 462-1047
TRADITIONS HOSPICE OF LAWRENCEVILLE, LLC
Hospice Care, Community Based
497 ROME ST
CARROLLTON, GA 30117
Carroll County (770) 462-1047

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 Mclaughlin's NPI number?

The NPI number for Heather Mclaughlin is 1861032187. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Heather Mclaughlin located?

Heather Mclaughlin practices at 497 Rome St, Carrollton, GA 30117. The listed phone number is (770) 462-1047.

What is Heather Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Mclaughlin enrolled in Medicare?

Yes. Heather Mclaughlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mclaughlin reassigns Medicare benefits to 3 organizations: Homestead Hospice Of Lawrencesville, LLC (Carrollton, GA), Hardy Renew Wellness,llc (Marietta, GA) and Georgia Mso LLC (Atlanta, GA). Each 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 Mclaughlin'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 Mclaughlin was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.