Individual provider Active NPI

James C Harmon, M.D.

  • Family Medicine Physician
  • Cornelia, GA
National Provider Identifier
1053404822
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023363 Issued in GA
Practice address
504 S Main St
Cornelia, GA 30531-3966
Phone
(706) 778-8020
NPI assigned
Oct 2, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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 023363 GA Primary

Addresses

Primary practice location

504 S Main St
Cornelia, GA 30531-3966

Mailing address

PO Box 927
504 South Main Street
Cornelia, GA 30531-0927

Other identifiers 1

IdentifierTypeStateIssuer
000242052BMedicaidGA

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
I20101005000779 GA Practitioner - Family Practice 9133311434 Practice locations: Cornelia, GA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

504 S Main St
Cornelia, GA 30531-3966
Phone (706) 778-8020

927 PO Box
Cornelia, GA 30531-1015

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1053404822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "address_2": "504 SOUTH MAIN STREET",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305310927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S MAIN ST",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305313966",
            "telephone_number": "706-778-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "023363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000242052B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

Verify at the official NPI Registry.