NPIMap

Organization Active NPI

D. Conrad Harper, MD LLC

  • Internal Medicine Physician
  • Douglas, GA
National Provider Identifier
1326245382
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
D. CONRAD HARPER, MD LLC
Practice address
102 Bowens Mill Rd
Douglas, GA 31533-2250
Phone
(912) 384-3838
Fax
(912) 384-8847
NPI assigned
Jul 2, 2007
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Mr. Dennis Conrad Harper, M.D.NPI 1043203425
Title
Owner
Phone
(912) 384-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

102 Bowens Mill Rd
Douglas, GA 31533-2250

Mailing address

102 NW Bowens Mill Road
Douglas, GA 31533-2252
Phone (912) 384-3838

Other identifiers 1

IdentifierTypeStateIssuer
843434306KMedicaidGA

Other names 1

  • Dennis C. Harper, MD. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040603001243 GA Part B Supplier - Clinic/Group Practice 7618959594 Receives reassigned benefits from 3 practitioners
Practice locations: Douglas, GA
O20121029000189 GA DME Supplier - Physician - General Practice 7618959594 Practice locations: Douglas, GA

National Provider Directory

National Provider Directory

Locations

101 Bowens Mill Rd
Ste D
Douglas, GA 31533
Phone (912) 384-1900

101 Bowens Mill Rd
Ste G
Douglas, GA 31533
Phone (912) 384-4000

101 Bowens Mill Rd
Ste H
Douglas, GA 31533
Phone (912) 384-3838

102 Bowens Mill Rd
Douglas, GA 31533
Phone (912) 384-3838

200 Doctors Dr
Ste 106
Douglas, GA 31533
Phone (912) 384-3338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21809/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1326245382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NW BOWENS MILL ROAD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332252",
            "telephone_number": "912-384-3838",
            "fax_number": "912-384-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOWENS MILL RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332250",
            "telephone_number": "912-384-3838",
            "fax_number": "912-384-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. CONRAD HARPER, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843434306K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis C. Harper, MD.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dennis C. Harper, MD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.