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

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: August 09, 2026.

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

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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 3

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

Nurse Practitioner (Adult Health)
4233 CAMELOT XING
VALDOSTA, GA 31602
Dermatology
4233 CAMELOT XING
VALDOSTA, GA 31602
Dermatology
4233 CAMELOT XING
VALDOSTA, GA 31602

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.

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 8 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.