Charles M Harden Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

044930 Issued in GA

Practice address

130 N Gross Rd Ste 201
Kingsland, GA 31548-6277

Phone

(912) 729-2795

Fax

(912) 729-4117

NPI assigned

Feb 20, 2006

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden Healthcare Associates IncGroup PAC ID 8123013455, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.harden.1@25110.direct.athenahealth.com

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

• Camden Healthcare Associates, Inc.

  • Family Medicine Physician
  • Kingsland, GA
  • NPI 1710927405
  Medicare reassignment Care Compare group NPD
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  NPD (past)
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  NPD (past)
• Southeast Georgia Health System, Inc.

  • Skilled Nursing Facility
  • Brunswick, GA
  • NPI 1619135464
  NPD (past)
• Southeastern Hospitalist Physicians, LLP

  • Emergency Medicine Physician
  • Eastman, GA
  • NPI 1265853469
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services USA, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Brunswick, GA
  • NPI 1619959251
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1053386508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD STE 201",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486277",
            "telephone_number": "912-729-2795",
            "fax_number": "912-729-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD STE 201",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486277",
            "telephone_number": "912-729-2795",
            "fax_number": "912-729-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Glynco Pkwy",
            "address_2": "Bldg A Suite 10",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315257921",
            "country_code": "US",
            "telephone_number": "912-264-9111",
            "fax_number": "912-262-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "044930",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "044930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799345D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "206395",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Gray
• Shilliane M Green
• Marissa Danielle Hagenbruch, DPT
• Barbara Ann Hahn, CRNA
• Paige B Hand, LPC, NCC
• Marisa G Harvey, PT
• Heartland EMS Inc
• Heavenly Devine Blessing (Big Mama's Kitchen)
• Jason Anthony Hill, MED
• Arnold Edd Holland III, PHARMD

• General Practice Physician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.