NPPES file of Aug 9, 2026

Derek Heldzinger, M.D.

Family Medicine Physician · Dalton, GA

Derek Heldzinger, M.D. is a family medicine physician with a practice address in Dalton, Georgia, and NPI 1336442037, issued on Dec 18, 2010. Check the license (Georgia 65259, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336442037
Name
Derek Heldzinger
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
65259 GA
Self-reported in NPPES; status is on the state search
Practice location
1504 N Thornton Ave Ste 107, Dalton, GA 30720
Phone
(706) 226-1565
Enumerated
Dec 18, 2010
Record last updated
May 26, 2026
Fax
(706) 403-5076
Medicare enrollment
Enrolled (PECOS I20120427000071); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1504 N Thornton Ave Ste 107

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Antalis, M.D.Family Medicine Physician1265420731
  2. Lauren Cummings, FNPFamily Nurse Practitioner1457104754
  3. John Richmond, MDNephrology Physician1134112915

Verify Derek Heldzinger in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 65259
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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80% fewer Medicare Part D claims than the average family medicine physician in 2024

703 Medicare Part D claims for 363 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. 17 claims were for opioids.

  1. Derek Heldzinger703
  2. Specialty average3,544

Most prescribed

  1. Cefdinir101 claims
  2. Doxycycline Hyclate44 claims
  3. Sulfamethoxazole-Trimethoprim28 claims
  4. Amoxicillin26 claims
  5. Paxlovid24 claims
  6. Azithromycin23 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Utm OF Georgia Physicians LLCDalton, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek Heldzinger among 3,951 family medicine physician records in Georgia

Derek Heldzinger, M.D. is one of 3,951 family medicine physician records with a practice address in Georgia. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 60% of them.

  • NPI issued2010 · 60% of these records are older, 38% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated1987 · median 2005 among the 2,542 with a school on file
  • Record last updated2026 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

28 family medicine physician records list a practice address in Dalton

They are 28 of the 1,269 NPPES records with a practice address in Dalton, and 3,951 family medicine physician records in Georgia.

The 8 family medicine physician records with the nearest ZIP codes

  1. John Antalis, M.D.Dalton, GA 307201265420731
  2. Natalie BessomDalton, GA 307201235517137
  3. Bryan Cheever, M.D.Dalton, GA 307201063459220
  4. Bradley Delay, M.D.Dalton, GA 307201134117609
  5. Lisa Griggs, M.D.Dalton, GA 307201073563250
  6. William McDaniel, M.D.Dalton, GA 307201174511562
  7. Christina Sikes, D.O.Dalton, GA 307201396062238
  8. Wiley Smith, M.D.Dalton, GA 307201649310236

Common questions

What is Derek Heldzinger, M.D.'s NPI number?

Derek Heldzinger, M.D.'s National Provider Identifier (NPI) is 1336442037, issued on Dec 18, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Derek Heldzinger, M.D. located?

The NPPES record lists a practice address at 1504 N Thornton Ave Ste 107, Dalton, GA, 30720. Phone: (706) 226-1565. Providers update this record themselves, so call before visiting.

How can I verify Derek Heldzinger, M.D.'s license?

NPPES lists Georgia license number 65259, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Derek Heldzinger, M.D. prescribe under Medicare Part D?

In 2024, Derek Heldzinger, M.D. had 703 Medicare Part D claims for 363 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.