OrganizationActive
Custom Healthcare LLC
NPI 1316268105 · Multi-Specialty Clinic/Center · Bishop, GA
Provider details
- NPI number
- 1316268105
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Troy Heidesch, Ceo/ Provider(706) 207-1039
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1540 Gober Rd
Bishop, GA 30621-1685
Phone: (706) 207-1039
Street-level locationGet directions
Mailing address
1540 Gober Rd
Bishop, GA 30621-1685
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.