Individual provider Active NPI

Christine Harrell, PA

  • Medical Physician Assistant
  • Macon, GA
National Provider Identifier
1295732576
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3874 Issued in GA
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

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000021 GA Practitioner - Physician Assistant 9436100914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Family Medical and Urgent Care Clinic of McDonough, LLCGroup PAC ID 7113054131, 20 clinicians

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

LicenseStateTypeSpecialty
003874GAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.