Organization Active NPI

Susan M. Harding MD PC

  • Internal Medicine Physician
  • Quitman, GA
National Provider Identifier
1689889305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040818000730 GA Part B Supplier - Clinic/Group Practice 7719950690 Receives reassigned benefits from 1 practitioner
Practice locations: Quitman, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1056960Susan Harding MD905 North Court Street, Quitman, GA 31643Provider-performed microscopyFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.