OrganizationActive
Heritage Medical House Call
NPI 1063778983 · Home Health Agency · Stone Mountain, GA
Heritage Medical House Call is a Home Health Agency organization in Stone Mountain, GA (NPI 1063778983).
Provider details
- NPI number
- 1063778983
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kevin Lane, Owner/Member(888) 461-9765
- License
- 12018049 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
925 Main Street
Suite 300-13
Stone Mountain, GA 30083-3098
Phone: (888) 461-9765
Fax: (678) 381-1684
Street-level locationGet directions
Mailing address
925 Main St
Stone Mountain, GA 30083-3098
Registry dates
- Enumerated
- 2012-04-04
- Last updated
- 2012-10-31
Frequently asked questions
- What is Heritage Medical House Call's NPI number?
- Heritage Medical House Call's National Provider Identifier (NPI) is 1063778983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Medical House Call?
- Heritage Medical House Call is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Heritage Medical House Call located?
- Heritage Medical House Call's practice location on file with NPPES is 925 Main Street, Stone Mountain, GA 30083-3098.
- What is Heritage Medical House Call's phone number?
- The practice phone number listed in the NPPES registry for Heritage Medical House Call is (888) 461-9765.
- Who is the authorized official for Heritage Medical House Call?
- The authorized official listed on Heritage Medical House Call's NPPES record is Kevin Lane, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Medical House Call's NPI active?
- Yes — Heritage Medical House Call's NPI (1063778983) is active in the NPPES registry as of the last update on 2012-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.