Individual provider Active NPI

Leanna Elise Harbor, MD

  • Pediatrics Physician
  • Milledgeville, GA
National Provider Identifier
1093336687
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
96114 Issued in GA
Practice address
750 N Cobb St Ste 230
Milledgeville, GA 31061-7162
Phone
(478) 453-9383
NPI assigned
May 5, 2020
Last updated
Jul 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 96114 GA Primary

Addresses

Primary practice location

750 N Cobb St Ste 230
Milledgeville, GA 31061-7162

Mailing address

750 N Cobb St Ste 230
Milledgeville, GA 31061-7162
Phone (478) 453-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200521003061 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7719308030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96114GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milledgeville Pediatrics PC Pediatrics PastSince Jul 2, 2023 Accepting new patients
Navicent Health Baldwin, Inc Past Accepting new patients

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1093336687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COBB ST STE 230",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617162",
            "telephone_number": "478-453-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N COBB ST STE 230",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617162",
            "telephone_number": "478-453-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOR",
        "first_name": "LEANNA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "96114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.