Active NPI
Christine Harrell, PA
- Medical Physician Assistant
- Macon, GA
National Provider Identifier
1295732576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3874
- Practice address
- 1062 Forsyth St Ste 2E
Macon, GA 31201-8631 - Phone
- (478) 633-7330
- NPI assigned
- Jul 1, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3874 | GA | Primary |
Addresses
Primary practice location
1062 Forsyth St Ste 2E
Macon, GA 31201-8631
Mailing address
1062 Forsyth St Ste 2E
Macon, GA 31201-8631
Phone (478) 633-7330
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1631 Hwy 20 W
McDonough, GA 30253-7311
Phone (770) 288-2822
230 Plaza Dr
Zebulon, GA 30295-6785
Phone (770) 288-2822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003874 | GA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Associates, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Hometown Healthcare, LLC | Past | Accepting new patients | |
| Sumter Regional Medical Group, PC | Past | Accepting new patients | |
| The Doctor'S Office, LLC | Past | Accepting new patients |
Locations
1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135
Interoperability endpoints
- christine.harrell@familyhc.eclinicaldirectplus.com
Organizations & group practices 8
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
- McDonough, GA
- NPI 1043440530
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Family Medicine Physician
- McDonough, GA
- NPI 1225587280
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Family Nurse Practitioner
- Americus, GA
- NPI 1639441744
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Specialist
- Americus, GA
- NPI 1073685996
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1578884516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1295732576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST STE 2E",
"city": "MACON",
"state": "GA",
"postal_code": "312018631",
"telephone_number": "478-633-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST STE 2E",
"city": "MACON",
"state": "GA",
"postal_code": "312018631",
"telephone_number": "478-633-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "CHRISTINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "3874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
- 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.