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

Oliver G Heinle, PA

Individual provider Physician Assistant · NPI 1942283460

Oliver G Heinle, PA is a Physician Assistant in Alpharetta, Georgia. Qualified in 2003, 23 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3400 Old Milton Pkwy Ste 270
Alpharetta, GA 30005-3707
Phone: (770) 442-1911
Fax: (770) 663-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004276 (GA)

Record details

NPI number1942283460
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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