Individual provider Active NPI

Margaret F Harris, PA-C, MPH

  • Physician Assistant
  • Statsboro, GA
National Provider Identifier
1114042082
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4041 Issued in GA
Practice address
116 Hill Pond LN
Statsboro, GA 30458
Phone
(912) 489-1629
Fax
(912) 489-1630
NPI assigned
Mar 20, 2007
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4041 GA Primary

Addresses

Primary practice location

116 Hill Pond LN
Statsboro, GA 30458

Mailing address

116 Hill Pond LN
Statsboro, GA 30458
Phone (912) 489-1629

Other identifiers 3

IdentifierTypeStateIssuer
602328090AMedicaidIL
P01256004OtherRAILROAD MEDICARE PTAN
F400094218OtherILNATIONAL GOVERNMENT SERVICES MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.004047ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro Psychiatric Associates Past Accepting new patients
Sinnissippi Centers, Inc. Past Accepting new patients
Sinnissippi Centers, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1114042082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HILL POND LN",
            "city": "STATSBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-489-1629",
            "fax_number": "912-489-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILL POND LN",
            "city": "STATSBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-489-1629",
            "fax_number": "912-489-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARGARET",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602328090A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01256004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES MEDICARE PTAN",
            "identifier": "F400094218",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.