Johnnie C Hardy

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

990 Mount Zion Rd
Oxford, GA 30054-4023

Phone

(770) 380-8994

Fax

(800) 781-1997

NPI assigned

Apr 29, 2020

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Shields of South Carolina Inc

  • Psychiatric Residential Treatment Facility
  • Blythewood, SC
  • NPI 1952890212
  NPD Authorized official
• Golden Shields Therapeutics & Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1366130692
  NPD Authorized official
• Alternate Paths

  • Community/Behavioral Health Agency
  • Oxford, GA
  • NPI 1013171321
  Authorized official Same address or phone

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1639790892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MOUNT ZION RD",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544023",
            "telephone_number": "770-380-8994",
            "fax_number": "800-781-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MOUNT ZION RD",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544023",
            "telephone_number": "770-380-8994",
            "fax_number": "800-781-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JOHNNIE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Garner Joseph, CSFA
• Tamara Garneryoung
• Gleaton Home Providers
• Katianna Gruber, BCBA
• Cynthia Hall, PHLEBOTOMIST
• Randall Hardy
• Shelbie Samantha Hilliard, LCSW
• Homecare Human Resource, LLC
• Homecare Human Resource, LLC.
• Cherene A Jarrett

• Student in an Organized Health Care Education/Training Program in Oxford, GA
• Providers in Oxford, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.