Healthcare Provider Details

I. General information

NPI: 1831643113
Provider Name (Legal Business Name): HEATHER MENEES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 OLD MILTON PKWY STE C500
ALPHARETTA GA
30005-4408
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD ATTN MANAGED CARE DEPT 10-905
ATLANTA GA
30342
US

V. Phone/Fax

Practice location:
  • Phone: 678-775-2284
  • Fax: 678-775-2285
Mailing address:
  • Phone: 678-775-2284
  • Fax: 678-775-2285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP222408
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN222408
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: