Lara Renee Hart, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

67638 Issued in GA

Practice address

1800 Northside Forsyth Dr
Ste. 260
Cumming, GA 30041-8447

Phone

(770) 255-2555

NPI assigned

Apr 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7139/brand/1/csg/1/fhir/r4

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.

• Peachtree Women'S Clinic 2 LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1174653877
  NPD (past)
• Preferred Women'S Healthcare, LLC

  • Obstetrics Physician
  • Lawrenceville, GA
  • NPI 1245298017
  NPD (past)
• Women'S Healthcare Associates of Athens, LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1033618806
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1154594679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR",
            "address_2": "STE. 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418447",
            "telephone_number": "770-255-2555",
            "fax_number": "770-889-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR",
            "address_2": "STE. 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418447",
            "telephone_number": "770-255-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "LARA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123182B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Harris, MS, OTR/L
• Jennifer Anne Harris, NP
• Kara Livingston Harris, PA-C
• Kendra Harris
• Melinda Harris
• Stephen Hartle, PA-C
• Angela Marie Hartley
• Farid Hasani
• Mark Wayne Hastings, PHARM.D.
• Toya E Hauf, LCSW, CSW

• Obstetrics & Gynecology Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.