Organization Active NPI

Lina Heath Harper, M.D., P.C.

  • Family Medicine Physician
  • Waycross, GA
National Provider Identifier
1508886953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055237 Issued in GA
Legal business name
LINA HEATH HARPER, M.D., P.C.
Practice address
303 Darling Ave
Waycross, GA 31501-5223
Phone
(912) 283-1717
Fax
(912) 283-7633
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lina Heath Harper, M.D.NPI 1467426023
Title
President
Phone
(912) 283-1717

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 055237 GA Primary

Addresses

Primary practice location

303 Darling Ave
Waycross, GA 31501-5223

Mailing address

303 Darling Ave
Waycross, GA 31501-5223
Phone (912) 283-1717

Other identifiers 1

IdentifierTypeStateIssuer
P00142568OtherGARR MEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000320 GA Part B Supplier - Clinic/Group Practice 5890763296 Receives reassigned benefits from 3 practitioners
Practice locations: Waycross, GA

National Provider Directory

National Provider Directory

Locations

303 Darling Ave
Waycross, GA 31501
Phone (912) 283-1717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBEBA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508886953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015223",
            "telephone_number": "912-283-1717",
            "fax_number": "912-283-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015223",
            "telephone_number": "912-283-1717",
            "fax_number": "912-283-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA HEATH HARPER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-283-1717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "P00142568",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.