Active NPI
Lina Heath Harper, M.D., P.C.
- Family Medicine Physician
- Waycross, GA
National Provider Identifier
1508886953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055237
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lina Heath Harper, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00142568 | Other | GA | RR MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 Darling Ave
Waycross, GA 31501
Phone (912) 283-1717
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Waycross, GA
- NPI 1467426023
-
- Family Nurse Practitioner
- Waycross, GA
- NPI 1255947610
-
- Family Nurse Practitioner
- Waycross, GA
- NPI 1740555705
-
- Family Nurse Practitioner
- Waycross, GA
- NPI 1164796488
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.