Active NPI
Harold Hugh Herring Jr., P.T.A.
- Physical Therapy Assistant
- Clayton, GA
National Provider Identifier
1003962846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002263
- Practice address
- 1136 N. Main St.
Clayton, GA 30525 - Phone
- (706) 782-2585
- Fax
- (706) 782-2012
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002263 | GA | Primary |
Addresses
Primary practice location
1136 N. Main St.
Clayton, GA 30525
Mailing address
555 Henderson Falls Rd
Unit a
Toccoa, GA 30577-1633
Phone (706) 599-2926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00961111A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002263 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003962846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HENDERSON FALLS RD",
"address_2": "UNIT A",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305771633",
"telephone_number": "706-599-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 N. MAIN ST.",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-2585",
"fax_number": "706-782-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRING",
"first_name": "HAROLD",
"middle_name": "HUGH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00961111A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.