NPIMap

Organization Active NPI

Harmonie Medical

  • Medical Specialty Clinic/Center
  • Evans, GA
National Provider Identifier
1245563097
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
053030 Issued in GA
Legal business name
HARMONIE MEDICAL
Practice address
902 Ponder Place CT
Evans, GA 30809-3184
Phone
(706) 210-2625
Fax
(706) 210-9882
NPI assigned
Sep 11, 2009
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Achih Chen, M.D.NPI 1083796460
Title
Physician
Phone
(706) 210-2625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 053030 GA Primary

Addresses

Primary practice location

902 Ponder Place CT
Evans, GA 30809-3184

Mailing address

613 Ponder Place Dr
Evans, GA 30809-3187
Phone (706) 210-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100113000391 GA Part B Supplier - Clinic/Group Practice 7618018698 Receives reassigned benefits from 12 practitioners
Practice locations: Evans, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1107424Harmonie Medical902 Ponder Place Court, Evans, GA 30809ComplianceJun 8, 2028

National Provider Directory

National Provider Directory

Locations

902 Ponder Place Ct
Ste 3
Evans, GA 30809
Phone (706) 364-3223

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1245563097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PONDER PLACE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093187",
            "telephone_number": "706-210-2625",
            "fax_number": "706-210-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PONDER PLACE CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093184",
            "telephone_number": "706-210-2625",
            "fax_number": "706-210-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONIE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ACHIH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-210-2625",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "053030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.