Active NPI
Katherine Ganas Harvell, FNP-BC
- Family Nurse Practitioner
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN170256
- Practice address
- 1921 Alice St Ste 3a
Waycross, GA 31501-6202 - Phone
- (912) 283-5616
- NPI assigned
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
-
- Orthopaedic Surgery Physician
- Alma, GA
- NPI 1639485394
-
- Skilled Nursing Facility
- Alma, GA
- NPI 1912111634
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- South Georgia Physicians Group, LLC
Practice addresses (Care Compare)
407 W Oneida St
Waycross, GA 31501-5320
Phone (912) 338-0065
Hospital & facility affiliations
- Memorial Satilla Health
- Bacon County Hospital
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304000159 | GA | Practitioner - Nurse Practitioner | 9537204300 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN170256 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Bacon County Health Services, Inc. | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| South Georgia Physicians Group, LLC | Family | Current | Accepting new patients |
| Bacon County Health Services, Inc. | Past | Accepting new patients | |
| Bacon County Health Services, Inc. | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789
204 E 15th St
Alma, GA 31510
Phone (912) 632-2952
1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333
615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710
1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086
407 W Oneida St
Waycross, GA 31501
Phone (912) 338-0065
Interoperability endpoints
- katherine.harvell@bacon.gadirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN170256 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1921 Alice St Ste 3a
Waycross, GA 31501-6202
Mailing address
5482 Meadow Wood Rd
Blackshear, GA 31516-4453
Phone (229) 300-7169
Other practice location 1
407 W Oneida St
Waycross, GA 31501-5320
Phone (912) 338-0065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2023.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699142400000",
"number": "1689909236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5482 MEADOW WOOD RD",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315164453",
"telephone_number": "229-300-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 ALICE ST STE 3A",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016202",
"telephone_number": "912-283-5616"
}
],
"practiceLocations": [
{
"address_1": "407 W Oneida St",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315015320",
"country_code": "US",
"telephone_number": "912-338-0065",
"fax_number": "912-338-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARVELL",
"first_name": "KATHERINE",
"middle_name": "GANAS",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN170256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.