Individual provider Active NPI

Byron Fletcher Harper III, M.D.

  • Internal Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1356310544
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028780 Issued in GA
Practice address
106 Governors SQ
Fayetteville, GA 30215-4805
Phone
(770) 632-5944
Fax
(770) 632-5942
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028780 GA Primary

Addresses

Primary practice location

106 Governors SQ
Fayetteville, GA 30215-4805

Mailing address

106 Governors SQ
Fayetteville, GA 30215-4805
Phone (770) 632-5944

Other identifiers 1

IdentifierTypeStateIssuer
00342229AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000115 GA Practitioner - Internal Medicine 4789633454 Reassigns benefits to 1 organization
Practice locations: Peachtree City, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Governors Square Prkwy
Suite B
Fayetteville, GA 30214
Phone (770) 892-1777

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Byron F Harper III MD PC Internal Medicine CurrentSince Jan 1, 1999 Accepting new patients

Locations

106 Governors Sq
Ste B
Peachtree City, GA 30269
Phone (770) 632-5944

106 Governors Sq
Peachtree Cty, GA 30269
Phone (770) 461-2225

Interoperability endpoints

  • Direct secure messaging: byron.harper.1@19738.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1356310544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GOVERNORS SQ",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154805",
            "telephone_number": "770-632-5944",
            "fax_number": "770-632-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GOVERNORS SQ",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154805",
            "telephone_number": "770-632-5944",
            "fax_number": "770-632-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "BYRON",
        "middle_name": "FLETCHER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00342229A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.