Individual provider Active NPI

Harsha Vihab Hai Cole, PA-C

  • Physician Assistant
  • Jacksonville, AL
National Provider Identifier
1114939048
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1155 Issued in AL
Practice address
1460A 2ND Ave SW
Jacksonville, AL 36265-3358
Phone
(256) 435-2180
Fax
(256) 435-8718
NPI assigned
Aug 12, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 1155 AL Primary

Addresses

Primary practice location

1460A 2ND Ave SW
Jacksonville, AL 36265-3358

Mailing address

4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (770) 442-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050908000841 GA Practitioner - Physician Assistant 9931131133
I20160825002070 AL Practitioner - Physician Assistant 9931131133 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1155ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Fort Payne Clinic Corp CurrentSince Jan 1, 2019 Accepting new patients
McKinney Medical Center Inc CurrentSince Aug 8, 2005 Accepting new patients
Georgia Em-I Medical Services PC Physician Assistant CurrentSince Jan 21, 2008 Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
McKinney Medical Center Inc Past Accepting new patients
McKinney Community Health Ctr, Inc Past Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
West Orange Healthcare Inc Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

1460A 2nd Ave SW
Jacksonville, AL 36265
Phone (256) 435-2180

1460A 2nd Ave SW
Ste A
Jacksonville, AL 36265

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

Interoperability endpoints

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1114939048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102",
            "telephone_number": "770-442-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460A 2ND AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653358",
            "telephone_number": "256-435-2180",
            "fax_number": "256-435-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "HARSHA",
        "middle_name": "VIHAB HAI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.