Active NPI
Geoffrey Lance Hardin, PA-C
- Physician Assistant
- Gastonia, NC
National Provider Identifier
1295715795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103904
- Practice address
- 2610 Aberdeen Blvd
Gastonia, NC 28054-0637 - Phone
- (704) 865-5210
- Fax
- (704) 865-6282
- NPI assigned
- Jan 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103904 | NC | Primary |
Addresses
Primary practice location
2610 Aberdeen Blvd
Gastonia, NC 28054-0637
Mailing address
2610 Aberdeen Blvd
Gastonia, NC 28054-0637
Phone (704) 865-5210
Other names 1
- Mr. Lance Hardin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103904 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1295715795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540637",
"telephone_number": "704-865-5210",
"fax_number": "704-865-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540637",
"telephone_number": "704-865-5210",
"fax_number": "704-865-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "GEOFFREY",
"middle_name": "LANCE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANCE",
"last_name": "HARDIN",
"prefix": "MR.",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.