Organization Active NPI

Harbison Covenant Healthcare Institute PC

  • Obstetrics & Gynecology Physician
  • Columbus, GA
National Provider Identifier
1295420578
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HARBISON COVENANT HEALTHCARE INSTITUTE PC
Practice address
2000 10TH Ave Ste 150
Columbus, GA 31901-3702
Phone
(706) 989-4955
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Kamesha Harbison, MDNPI 1982833117
Title
Owner
Phone
(847) 204-5290

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2000 10TH Ave Ste 150
Columbus, GA 31901-3702

Mailing address

PO Box 12347
Columbus, GA 31917-2347
Phone (706) 989-4955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230824001135 GA Part B Supplier - Clinic/Group Practice 9335502384 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, 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
11D2288805Harbison Covenant Healthcare Institute PC2000 10TH Avenue, Columbus, GA 31901Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1295420578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12347",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319172347",
            "telephone_number": "706-989-4955",
            "fax_number": "706-989-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 150",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013702",
            "telephone_number": "706-989-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBISON COVENANT HEALTHCARE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HARBISON",
        "authorized_official_first_name": "KAMESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-204-5290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.