Active NPI
Torey Scott Harden, M.D.
- Pediatrics Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 71831
- Practice address
- 301 Medical Dr
Ste 504
Lagrange, GA 30240-4144 - Phone
- (706) 812-2655
- Fax
- (706) 812-2428
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 71831 | GA | Primary |
Addresses
Primary practice location
301 Medical Dr
Ste 504
Lagrange, GA 30240-4144
Mailing address
301 Medical Dr
Ste 504
Lagrange, GA 30240-4144
Phone (706) 812-2655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tharden134994@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71831 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Cosmic Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
454 Lagrange St
Greenville, GA 30222
Phone (706) 672-4251
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
301 Medical Dr
Ste 504
Lagrange, GA 30240
Phone (706) 812-2655
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
61 Robinson Lake Rd
Newnan, GA 30265
Phone (678) 633-3260
Interoperability endpoints
- tharden134994@directwellstar.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Pediatrics Physician
- Newnan, GA
- NPI 1154185312
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1275827396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEDICAL DR",
"address_2": "STE 504",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404144",
"telephone_number": "706-812-2655",
"fax_number": "706-812-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEDICAL DR",
"address_2": "STE 504",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404144",
"telephone_number": "706-812-2655",
"fax_number": "706-812-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "TOREY",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "71831",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tharden134994@directwellstar.org",
"affiliation": "N",
"address_1": "301 Medical Dr",
"address_2": "Ste 504",
"city": "LaGrange",
"state": "GA",
"country_code": "US",
"postal_code": "302404144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.