Amy Craven Harrelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7166 Issued in GA

Practice address

14089 Abercorn St
Savannah, GA 31419-1966

Phone

(912) 350-2121

Fax

(912) 350-2145

NPI assigned

Oct 23, 2014

Last updated

Apr 13, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Applecare LLC

  • Urgent Care Clinic/Center
  • Brunswick, GA
  • NPI 1336257179
  NPD
• Southern Health and Wellness

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
  • NPI 1174348296
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555113600000",
    "number": "1659776391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MALL BLVD STE 202E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064834",
            "telephone_number": "912-349-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14089 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191966",
            "telephone_number": "912-350-2121",
            "fax_number": "912-350-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313221956",
            "country_code": "US",
            "telephone_number": "912-748-1515",
            "fax_number": "912-748-7707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "AMY",
        "middle_name": "CRAVEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2019-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7166",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wiloise Harper, PTA
• Christy Cole Harpring, DMD
• Windsor Primous Harps, CACII
• James Riley Harrell, PA-C
• Tamara Artnetta Harrell, MD
• Andrea Lynn Harrelson, LPC
• Johane Cam Harrigan
• Peter Harrill, MD
• James R Harrington, MD
• Ashlee Wescott Harris, NNP-BC

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; 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.