Individual provider Active NPI

Sonali Mukherjee Harshman, MD

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1104084516
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
87233 Issued in GA
Practice address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone
(706) 790-4440
Fax
(706) 790-4393
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME110403 FL
Pediatrics Physician 208000000X 87233 GA Primary

Addresses

Primary practice location

2467 Golden Camp Rd
Augusta, GA 30906-5515

Mailing address

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

Other practice location 1

1299 Interstate Pkwy
Augusta, GA 30909-6481
Phone (706) 863-2246

Other practice location 2

1111 Garredd Blvd Ste A
Augusta, GA 30909-6751
Phone (706) 863-5776

Other practice location 3

1113 Garredd Blvd
Augusta, GA 30909-6752
Phone (706) 364-8220

Other identifiers 1

IdentifierTypeStateIssuer
003845300MedicaidFL

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
I20201211001355 GA Practitioner - Pediatric Medicine 1254501315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110403FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc CurrentSince Dec 14, 2020 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Dec 14, 2020 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

1111 Garredd Blvd
Ste A
Augusta, GA 30909
Phone (706) 364-0707

1299 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-2246

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

1113 Garredd Blvd
Augusta, GA 30909
Phone (706) 364-8220

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1104084516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 GOLDEN CAMP RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065515",
            "telephone_number": "706-790-4440",
            "fax_number": "706-790-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096481",
            "country_code": "US",
            "telephone_number": "706-863-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Garredd Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096751",
            "country_code": "US",
            "telephone_number": "706-863-5776",
            "fax_number": "706-868-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Garredd Blvd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096752",
            "country_code": "US",
            "telephone_number": "706-364-8220",
            "fax_number": "706-922-5856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARSHMAN",
        "first_name": "SONALI",
        "middle_name": "MUKHERJEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME110403",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "87233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003845300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.