My Harvest Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MY HARVEST INC.

Practice address

5109 Big Spruce TRL
Gainesville, GA 30507-8104

Phone

(866) 205-5551

Fax

(888) 440-9733

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Angela Mains

Title

Regional Director

Phone

(866) 205-5551

Specialties & licenses 1

Addresses

Other names 1

• My Harvest CRA Doing business as

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1356783633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 ADAMS FARM LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465313",
            "telephone_number": "866-205-5551",
            "fax_number": "888-440-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 BIG SPRUCE TRL",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078104",
            "telephone_number": "866-205-5551",
            "fax_number": "888-440-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HARVEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "MAINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "866-205-5551"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Harvest CRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremiah Daniel Musick, PHARM.D.
• Stephanie Cannon Musick, PHARM.D.
• Husamelden B Mustafa, MD
• Muhareb Mustafa, MD
• Chad Jamison Muxlow, D.O.
• Audra Kathleen Myers, FNP-C
• Paula Criselda Lee Nacionales
• Padma C Nadella, M.D
• Ryan Michael Nadelson, MD
• Bilal Naeem, DO

• Point of Service in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.