Individual Healthcare Provider
Jason Pernell Heavens, MD
Provider's NPPES record last updated: November 13, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063781797
- Primary Specialty
- Family Medicine
- Practice Location
- Tempe, Arizona
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:03 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000X
Provider-Reported License Information
- Family Medicine (Arizona)
- 44336
- Emergency Medicine (Arizona)
- 44336
Practice Locations
Practice Location
4450 S Rural Rd Ste A210
Tempe, Arizona 85282-5587
Phone: (623) 444-2734
Additional Practice Location
95 S Idaho Rd Ste 140
Apache Junction, Arizona 85119-0006
Phone: (480) 444-1160
Fax: (480) 935-1014
Additional Practice Location
105 S Delaware Dr
Ste 1
Apache Junction, Arizona 85120-6512
Phone: (480) 646-1001
Fax: (480) 646-1002
Record Information
- Enumeration Date
- December 27, 2011
- Provider's NPPES Record Last Updated
- November 13, 2025
- Certification Date
- November 13, 2025
- NPISignal NPPES Dataset
- August 2026
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