Active NPI
Cheryle Euleyne Hartley, P.A.
- Physician Assistant
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1033593 NCCPA
- Practice address
- 6600 Whittlesey Blvd Unit a
Columbus, GA 31909-7334 - Phone
- (706) 322-6646
- Fax
- (706) 322-2891
- NPI assigned
- Oct 29, 2005
- Sex
- Female
- 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 | 1033593 NCCPA | GA | Primary |
Addresses
Primary practice location
6600 Whittlesey Blvd Unit a
Columbus, GA 31909-7334
Mailing address
6600 Whittlesey Blvd
Columbus, GA 31909-7334
Phone (706) 323-3491
Other practice location 1
2300 Manchester Expy
Ste 101A
Columbus, GA 31904-6802
Phone (706) 322-6646
Other practice location 2
6600 Whittlesey Blvd
Columbus, GA 31909-7334
Phone (706) 323-3491
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97WCJXX | Other | GA | MEDICARE PTAN |
| 948587397 | Medicaid | GA | |
| 009913320 | Medicaid | AL |
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 |
|---|---|---|---|
| 004863 | GA | MD | Physical Therapist |
| 1033593 NCCPA | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Orthopaedic Institute LLC | Current | Accepting new patients | |
| St. Francis Orthopaedic Institute LLC | Current | Accepting new patients | |
| West Georgia Medical Associates | Current | Accepting new patients | |
| West Georgia Eye Care Center, PA | Past | Accepting new patients |
Locations
2616 Warm Springs Rd
Columbus, GA 31904
Phone (706) 323-3491
2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128
6600 Whittlesey Blvd
Bldg A
Columbus, GA 31909
Phone (706) 323-3491
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2122 Manchester Expy
Ste 101A
Columbus, GA 31904
Interoperability endpoints
- cherylehartley@mld.allscriptsdirect.net
- cheryl.hartley@sfhga.gadirect.net
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.
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1831272582
-
- Orthopaedic Surgery of the Spine Physician
- Columbus, GA
- NPI 1952707820
-
- Dermatology Physician
- Columbus, GA
- NPI 1174972434
-
- Ophthalmology Physician
- Columbus, GA
- NPI 1699868265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295726370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 WHITTLESEY BLVD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319097334",
"telephone_number": "706-323-3491",
"fax_number": "706-322-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 WHITTLESEY BLVD UNIT A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319097334",
"telephone_number": "706-322-6646",
"fax_number": "706-322-2891"
}
],
"practiceLocations": [
{
"address_1": "2300 Manchester Expy",
"address_2": "Ste 101A",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319046802",
"country_code": "US",
"telephone_number": "706-322-6646",
"fax_number": "706-322-2891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6600 Whittlesey Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319097334",
"country_code": "US",
"telephone_number": "706-323-3491",
"fax_number": "706-322-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTLEY",
"first_name": "CHERYLE",
"middle_name": "EULEYNE",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "1033593 NCCPA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "97WCJXX",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "948587397",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913320",
"state": "AL"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.