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

Mrs. Heather Nicole Self, FNP-BC

Individual provider Registered Nurse · NPI 1336611714

Mrs. Heather Nicole Self, FNP-BC is a Nurse Practitioner in Macon, Georgia. Qualified in 2018, 8 years ago. Practices with Macon Medical Group PC, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297
Phone: (478) 745-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN232828 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN232828 (GA)

Record details

NPI number1336611714
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedDecember 22, 2018
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Macon Medical Group Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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