Susan M. Harding MD PC
Organization Active NPI Internal Medicine Physician · Quitman, GA
NPI 1689889305 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1689889305
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Elise B Bentley
- Title
- Office Coordinator
- Phone
- (229) 263-8956
Practitioners 5
-
Susan M Harding, MD
-
Jennifer Denise Robinson, AGNP-C
-
James A Harrell, MD
-
Jeri Lynn Sheffield, D.O.
-
Tammy Williams, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1056960 | Susan Harding MD | Provider-performed microscopy | Feb 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040818000730 | GA | Part B Supplier - Clinic/Group Practice | 7719950690 |
Receives reassigned benefits from 1 practitioner Practice locations: Quitman, GA |
National Provider Directory
Locations
905 N Court St
Quitman, GA 31643
Phone (229) 263-8956
2740 Madison Hwy
Valdosta, GA 31601
Phone (229) 242-9003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
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
Other providers in Quitman, GA
- South Georgia CSB
- South Georgia Ventures Inc
- South Health District
- Southern Regional EMS LLC
- Still Standing 2000, Inc
- Katie W Tanner
- Belinda Dale Tate
- The Hospital Authority of Brooks County, Georgia
- The Nightingale Clinic, PC
- Amy Thomas
All providers in Quitman, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.