Individual provider Active NPI

Jordan P Harrell, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1033812680
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
111294 Issued in GA
Practice address
106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone
(706) 321-2555
NPI assigned
Mar 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 111294 GA Primary

Addresses

Primary practice location

106 Enterprise CT Ste a
Columbus, GA 31904-9096

Mailing address

106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone (706) 321-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711004604 GA Order and Referring Only - Family PracticePractitioner - Family Practice 9234598020

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 Enterprise CT
Suite C
Columbus, GA 31904-9096

236 Lee Rd
Suite 644
Smiths Station, AL 36877

236 Lee Rd
Suite 644
Smiths Station, AL 36877-9281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. Family Medicine CurrentSince Aug 1, 2026 Accepting new patients
Horizons Diagnostics, L.L.C. PastSince Aug 1, 2026 Accepting new patients

Locations

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1033812680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JORDAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "111294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.