Active NPI
James C Harmon, M.D.
- Family Medicine Physician
- Cornelia, GA
National Provider Identifier
1053404822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 023363
- Practice address
- 504 S Main St
Cornelia, GA 30531-3966 - Phone
- (706) 778-8020
- NPI assigned
- Oct 2, 2006
- Last updated
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000242052B | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.