Brian S Harley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001016 Issued in GA

Practice address

3400 Old Milton Pkwy BLDG a
Ste. 500
Alpharetta, GA 30005-3707

Phone

(770) 667-4410

Fax

(770) 667-4411

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afas@northside.gwaydirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EDJADD/Endpoint/EDJADD

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.

• Southern Foot and Ankle Institute LLC

  • Podiatrist
  • Alpharetta, GA
  • NPI 1720718414
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1659355584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 530",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222460",
            "telephone_number": "770-755-5749",
            "fax_number": "770-755-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY BLDG A",
            "address_2": "STE. 500",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-667-4410",
            "fax_number": "770-667-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11680 Great Oaks Way Ste 530",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300222460",
            "country_code": "US",
            "telephone_number": "770-755-5749",
            "fax_number": "770-755-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD STE 180",
            "address_purpose": "LOCATION",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "770-755-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AFAS@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3400 Old Milton Pkwy Bldg A",
            "address_2": "Ste. 500",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300053707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sydney Harden
• Bradley Phillip Hardesty, MPT
• Johnson Jacob Hardin, PHARMACIST
• Hannah Dever Hardy, DC
• Kristen Charice Hardy
• Harmony Nutrition LLC
• Harmony Pediatrics LLC
• Leslie Susan Harper, FNP-C
• Ayesha Harrell
• John C. Harrell, D.M.D.

• Podiatrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.