Individual provider Active NPI

Amy Nicole Harrison

  • Home Health Aide
  • Milledgeville, GA
National Provider Identifier
1083226757
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
620 S Jefferson St SE
Milledgeville, GA 31061-4006
Phone
(478) 979-0811
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X GA Primary

Addresses

Primary practice location

620 S Jefferson St SE
Milledgeville, GA 31061-4006

Mailing address

350 Fred Hall Rd
Ivey, GA 31031-2400
Phone (478) 979-0811

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nikki3819@HandsthatHold.org

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

Interoperability endpoints

  • Direct secure messaging: nikki3819@handsthathold.org

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1083226757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FRED HALL RD",
            "city": "IVEY",
            "state": "GA",
            "postal_code": "310312400",
            "telephone_number": "478-979-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S JEFFERSON ST SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614006",
            "telephone_number": "478-979-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nikki3819@HandsthatHold.org",
            "affiliation": "N",
            "address_1": "620 S Jefferson St SE",
            "city": "Milledgeville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310614006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.