Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Pernell Heavens, MD

Individual provider Family Medicine Physician · NPI 1063781797

Dr. Jason Pernell Heavens, MD is a Family Practice in Tempe, Arizona. Qualified in 1997, 29 years ago. Practices as a sole proprietor, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4450 S Rural Rd Ste A210
Tempe, AZ 85282-5587
Phone: (623) 444-2734
Fax: (623) 444-2784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 105 S Delaware Dr, Apache Junction, AZ 85120-6512 — (480) 646-1001
  • 95 S Idaho Rd Ste 140, Apache Junction, AZ 85119-0006 — (480) 444-1160

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 44336 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 44336 (AZ)

Record details

NPI number1063781797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 27, 2011
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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