HEATHER SUZANNE BROCK PA
NPI 1891744827
Physician Assistant - Medical in Saint Simons Island, GA

Q: What is Heather Brock's NPI number?

The NPI number for Heather Brock is 1891744827. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Q: What is Heather Brock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Brock was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 08, 2006PECOS Enrolled

100 SAINT CLAIR PKWY, SAINT SIMONS ISLAND, GA 31522(678) 446-7351 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Heather Suzanne Brock Pa NPPES

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

HEATHER SUZANNE BROCK PA (NPI 1891744827) is an individual medical provider in Saint Simons Island, Georgia, licensed in Georgia (003270) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891744827

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER SUZANNE BROCKCredential: PA

Location Address100 SAINT CLAIR PKWYSaint Simons Island, GA 31522-1007

Mailing Address100 Saint Clair PkwySaint Simons Island, GA 31522-1007 · (678) 446-7351

Phone(678) 446-7351

Sole ProprietorNo

Enumeration DateMay 8, 2006

Last NPPES UpdateMay 19, 2016

✔ NPI 1891744827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 003270

100 SAINT CLAIR PKWY, Saint Simons Island, GA 31522

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Other Identifiers 1

Medicare ID-Type Unspecified97BBDXSGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Suzanne Brock Pa 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.

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 Brock's NPI number?

The NPI number for Heather Brock is 1891744827. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Heather Brock located?

Heather Brock practices at 100 Saint Clair Pkwy, Saint Simons Island, GA 31522. The listed phone number is (678) 446-7351.

What is Heather Brock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Brock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Brock was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.