Individual provider Active NPI

Kristi L Harrison, FNP-C

  • Registered Nurse
  • Warner Robins, GA
National Provider Identifier
1306245261
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN195227 Issued in GA
Practice address
2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone
(478) 918-0770
Fax
(478) 918-0771
NPI assigned
Aug 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN195227 GA Primary

Addresses

Primary practice location

2054 Watson Blvd
Warner Robins, GA 31093-3634

Mailing address

PO Box 5048
Macon, GA 31208-5048
Phone (478) 918-0770

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
I20141209001991 GA Practitioner - Nurse Practitioner 8921320557 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN195227GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Central Georgia, LLC CurrentSince Oct 3, 2014 Accepting new patients
Houston Medical Associates, LLC Current Accepting new patients
Southeast Medical Group, P.C. CurrentSince Oct 1, 2023 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

1531 Watson Blvd
Warner Robins, GA 31093
Phone (478) 599-0110

Interoperability endpoints

  • Direct secure messaging: kristi.harrison@mgocg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1306245261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312085048",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN195227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.