Corey Patrick Harkins

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

071806 Issued in GA

Legal business name

COREY PATRICK HARKINS

Practice address

120 Vann St NE
Suite 150
Marietta, GA 30060-7357

Phone

(770) 421-1242

Fax

(770) 424-6652

NPI assigned

Dec 11, 2014

Last updated

Dec 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Corey Patrick Harkins, M.D.NPI 1255591814

Title

M.D.

Phone

(770) 421-1242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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.

• Corey Patrick Harkins, MD

  • Plastic and Reconstructive Surgery Physician
  • Marietta, GA
  • NPI 1255591814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1245638931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242",
            "fax_number": "770-424-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242",
            "fax_number": "770-424-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY PATRICK HARKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-421-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "071806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Copenhaver, M.D.
• Melinda Coppola, MS BCBA
• Nicholas Cordts, LMSW
• Core Connections Behavioral Associates LLC
• Core Health Provider Services, Inc (Core Healthcare services)
• Claudette Louise Corey, NP
• Tisha Rene Corey, DC
• Camille Corica, MS, CCC-SLP
• Charles A Corley, MD
• Lori Spitzer Corley, MD

• Plastic and Reconstructive Surgery Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.