Individual provider Active NPI

Shannon Maurice Harper, NP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1417577370
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN208104 Issued in GA
Practice address
1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone
(478) 741-1208
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 RN208104 GA Primary

Addresses

Primary practice location

1062 Forsyth St Ste 1B
Macon, GA 31201-8638

Mailing address

1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone (478) 741-1208

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
I20200709001039 GA Practitioner - Nurse Practitioner 2860815842 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
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians

Practice addresses (Care Compare)

1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 741-1208

Hospital & facility affiliations

  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Putnam General Hospital Hospital, Eatonton, GA, CCN 111313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN208104GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam General Hospital Authority CurrentSince Oct 1, 2024 Accepting new patients
Central Georgia Heart Center, PC CurrentSince May 27, 2020 Accepting new patients
Putnam General Hospital Authority CurrentSince Oct 1, 2024 Accepting new patients
Central Georgia Heart Center, PC CurrentSince May 27, 2020 Accepting new patients

Locations

1329 N 5th Street Ext
Cordele, GA 31015
Phone (229) 273-6939

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

134 Martin Luther King Jr Dr
Ste 2B
Forsyth, GA 31029

120 N Lee St
Ste C
Forsyth, GA 31029
Phone (478) 633-1821

222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1062 Forsyth St
Ste 2D
Macon, GA 31201
Phone (478) 633-8379

535 Coliseum Dr
Macon, GA 31217
Phone (478) 803-7300

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

898 College St
Monticello, GA 31064
Phone (706) 468-0988

211 E Thompson St
Thomaston, GA 30286
Phone (404) 647-8909

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

615 S Center St
Thomaston, GA 30286
Phone (706) 647-2147

304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • Direct secure messaging: shannon.harper@cghc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD
  • Direct secure messaging: sharper435956@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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 2

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1417577370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "SHANNON",
        "middle_name": "MAURICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.