HOLLY BAUSER-HEATON M.D. PH.D. NPI 1073756631

NPI Information

NPI: 1073756631
Provider Name: HOLLY BAUSER-HEATON, M.D., PH.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 256-2593
Get Directions

Holly Bauser-heaton, M.D., PH.D. is a pediatric cardiology pediatrics in Atlanta, GA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Holly Bauser-heaton, M.D., PH.D. NPI is 1073756631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-060
Phone: (404) 256-2593
Fax: (770) 488-9408

The NPI 1073756631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		094041	GEORGIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2080P0202X	Pediatrics	Pediatric Cardiology	076296	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003177562B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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