Individual provider Active NPI

Dawnne Harbin, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1326696568
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232392 Issued in GA
Practice address
619 S 8TH St
Griffin, GA 30224-4260
Phone
(770) 228-2721
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232392 GA Primary

Addresses

Primary practice location

619 S 8TH St
Griffin, GA 30224-4260

Mailing address

110 St Albans Way
Peachtree City, GA 30269-6501

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Griffen

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
I20191118000213 GA Practitioner - Nurse Practitioner 2466884275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gomed, LLCGroup PAC ID 9537425533, 6 clinicians

Practice addresses (Care Compare)

2011 Commerce Dr N
Suite 25
Peachtree City, GA 30269-3538
Phone (844) 994-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232392GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gomed, LLC CurrentSince Feb 18, 2020 Accepting new patients
Georgia Emergency Group, LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

2011 Commerce Dr N
Ste 25
Peachtree Cty, GA 30269
Phone (844) 994-6633

Interoperability endpoints

  • Direct secure messaging: dawnne.harbin.1@22872.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1326696568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ST ALBANS WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "770-228-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "DAWNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "232392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Griffen",
            "affiliation": "N",
            "address_1": "619 S 8th St",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.