HEIDI C GONZALEZ FNP-C
NPI 1962393744
Nurse Practitioner - Family in Valdosta, GA

Q: What is Heidi Gonzalez's NPI number?

The NPI number for Heidi Gonzalez is 1962393744. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Q: What is Heidi Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Gonzalez was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 10, 2025PECOS Enrolled

4233 CAMELOT XING, VALDOSTA, GA 31602(229) 469-4383(229) 469-4584 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Jul 10, 2025 (2 updates tracked since 2025).

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About Heidi C Gonzalez Fnp-c NPPES

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

HEIDI C GONZALEZ FNP-C (NPI 1962393744) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN121140) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valdosta, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962393744

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI C GONZALEZCredential: FNP-C

Location Address4233 CAMELOT XINGValdosta, GA 31602-6926

Mailing Address4233 Camelot XingValdosta, GA 31602-6926 · (229) 469-4383 · Fax (229) 469-4584

Phone(229) 469-4383

Fax(229) 469-4584

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 10, 2025

Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1962393744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN121140

4233 CAMELOT XING, Valdosta, GA 31602

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Secondary Practice Location 1

Location 12700 N Oak St Bldg BValdosta, GA 31602-5903 · Phone (229) 249-8687

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi C Gonzalez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517450414

PECOS Enrollment IDI20251129000421

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

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

Thacker Dermatology LLC

Same address

Dermatology

4233 CAMELOT CROSSING
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
7 clinicians in this Medicare group

NPI 1326347238 (229) 469-4383

Bethany Hospice And Palliative Care, LLC

3.1 mi

Hospice Care, Community Based

2700 N OAK ST, BUILDING B
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1972709160 (229) 249-8687

Peachtree Hospice Of Georgia, LLC

187 mi

Hospice and Palliative Medicine

354 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
42 clinicians in this Medicare group

NPI 1255788436 (678) 583-2269

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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.

MS. BARBARA ANN PEARCE ANP-C

Nurse Practitioner (Adult Health)

4233 CAMELOT XING
VALDOSTA, GA 31602

Lowndes County (229) 469-4383

DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA

Dermatology

4233 CAMELOT XING
VALDOSTA, GA 31602

Lowndes County (229) 469-4383

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 Heidi Gonzalez's NPI number?

The NPI number for Heidi Gonzalez is 1962393744. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Heidi Gonzalez located?

Heidi Gonzalez practices at 4233 Camelot Xing, Valdosta, GA 31602. The listed phone number is (229) 469-4383.

What is Heidi Gonzalez's specialty?

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

Is Heidi Gonzalez enrolled in Medicare?

Yes. Heidi Gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heidi Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Gonzalez reassigns Medicare benefits to 3 organizations: Thacker Dermatology LLC (Valdosta, GA), Bethany Hospice And Palliative Care, LLC (Valdosta, GA) and Peachtree Hospice Of Georgia, LLC (Stockbridge, 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 Heidi Gonzalez'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 Heidi Gonzalez was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.