Active NPI
Susan M. Harding MD PC
- Internal Medicine Physician
- Quitman, GA
National Provider Identifier
1689889305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SUSAN M. HARDING MD PC
- Practice address
- 905 N Court St
Quitman, GA 31643-1362 - Phone
- (229) 263-8956
- Fax
- (229) 263-4671
- NPI assigned
- May 14, 2007
- Last updated
- Aug 22, 2020
- 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
- Elise B Bentley
- Title
- Office Coordinator
- Phone
- (229) 263-8956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
905 N Court St
Quitman, GA 31643-1362
Mailing address
905 N Court St
Quitman, GA 31643-1362
Phone (229) 263-8956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1056960 | Susan Harding MD | Provider-performed microscopy | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
2740 Madison Hwy
Valdosta, GA 31601
Phone (229) 242-9003
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Quitman, GA
- NPI 1952396798
-
- Gerontology Nurse Practitioner
- Quitman, GA
- NPI 1790568939
-
- Emergency Medicine Physician
- Lakeland, GA
- NPI 1649284001
-
- Family Medicine Physician
- Valdosta, GA
- NPI 1033234315
-
- Adult Health Nurse Practitioner
- Madison, FL
- NPI 1437282415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689889305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N COURT ST",
"city": "QUITMAN",
"state": "GA",
"postal_code": "316431362",
"telephone_number": "229-263-8956",
"fax_number": "229-263-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N COURT ST",
"city": "QUITMAN",
"state": "GA",
"postal_code": "316431362",
"telephone_number": "229-263-8956",
"fax_number": "229-263-4671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN M. HARDING MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "ELISE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "229-263-8956"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quitman, GA
- South Georgia Ventures Inc (South Georgia Ambulance)
- South Health District (Brooks County Board of Health)
- Southern Regional EMS LLC
- Amber Stanfield
- Still Standing 2000, Inc (Family and Community Partners)
- Katie W Tanner
- Belinda Dale Tate
- The Hospital Authority of Brooks County, Georgia (Presbyterian Home Quitman)
- The Nightingale Clinic, PC
- Amy Thomas
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.
- 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.