Individual provider Active NPI

Cheryle Euleyne Hartley, P.A.

  • Physician Assistant
  • Columbus, GA
National Provider Identifier
1295726370
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1033593 NCCPA Issued in GA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
97WCJXXOtherGAMEDICARE PTAN
948587397MedicaidGA
009913320MedicaidAL

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

LicenseStateTypeSpecialty
004863GAMDPhysical Therapist
1033593 NCCPAGAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Orthopaedic Institute LLC CurrentSince Jul 9, 2007 Accepting new patients
St. Francis Orthopaedic Institute LLC Current Accepting new patients
West Georgia Medical Associates CurrentSince Aug 15, 2016 Accepting new patients
West Georgia Eye Care Center, PA PastSince Aug 22, 1994 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

  • Direct secure messaging: cherylehartley@mld.allscriptsdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.