Harley'S Endeavors, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

HARLEY'S ENDEAVORS, LLC

Practice address

1622 Madison Ave
Tifton, GA 31794-3756

Phone

(229) 387-8061

Fax

(229) 387-8064

NPI assigned

May 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hewatt McGraw Sims, MDNPI 1386653061

Title

Owner

Phone

(229) 387-8061

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hewatt M Sims, MD

  • Orthopaedic Surgery of the Spine Physician
  • Douglas, GA
  • NPI 1386653061
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1003305707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "229-387-8061",
            "fax_number": "229-387-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "229-387-8061",
            "fax_number": "229-387-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943756",
            "country_code": "US",
            "telephone_number": "229-387-8061",
            "fax_number": "229-387-8064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARLEY'S ENDEAVORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "HEWATT",
        "authorized_official_middle_name": "MCGRAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-387-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Hanks, MASSAGE THERAPIST
• Harborview Tifton, LLC
• Elaina Harden, LD
• David Hardy, CRNA
• Richard Sterling Haring, DO, MPH
• Bridgette C Harper, NP-C
• Carlyle Harper, CRNA
• June Harper, CRNA
• Shauna M Harris, MPT
• Jessica Lynn Hart, PA C

• Orthopaedic Surgery Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.