Individual provider Active NPI

Harold Coleman Jr.

  • Podiatrist
  • Doraville, GA
National Provider Identifier
1700313475
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001338 Issued in GA
Practice address
5979 Buford Hwy NE
Doraville, GA 30340-1366
Phone
(678) 547-0000
NPI assigned
May 12, 2017
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006861 NY
Podiatrist 213E00000X POD001338 GA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001338 GA

Addresses

Primary practice location

5979 Buford Hwy NE
Doraville, GA 30340-1366

Mailing address

5979 Buford Hwy NE
Doraville, GA 30340-1366

Other practice location 1

544 W Hill St
Thomson, GA 30824-2117
Phone (706) 595-1090

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180110000751 GA Practitioner - Podiatry 8426317819 Reassigns benefits to 5 organizations
I20210322000716 NY Practitioner - Podiatry 8426317819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1280 Hwy 74 S
Suite 100
Peachtree City, GA 30269-3077
Phone (678) 961-5150

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue130
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Podiatry Care Podiatrist CurrentSince May 11, 2024 Accepting new patients
The Southeast Permanente Medical Group Podiatrist CurrentSince Aug 23, 2021 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Oct 1, 2024 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Oct 1, 2024 Accepting new patients
Ndem Ndem Universal Foot & Leg Clinic Foot & Ankle Surgery CurrentSince Jan 18, 2020 Accepting new patients
Undeniable Healthcare CurrentSince May 1, 2023 Accepting new patients
Jeffrey a. Sherman, MD, PC PastSince May 1, 2023 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

1911 Warm Springs Rd
Columbus, GA 31904
Phone (706) 562-8328

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645

462 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 868-0319

1280 Highway 74 S
Ste 100
Peachtree Cty, GA 30269
Phone (678) 961-5150

544 W Hill St
Thomson, GA 30824
Phone (706) 595-1090

Interoperability endpoints

  • Direct secure messaging: harold.coleman.1@24615.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24615/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1700313475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 BUFORD HWY NE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 BUFORD HWY NE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401366",
            "telephone_number": "678-547-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 W Hill St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242117",
            "country_code": "US",
            "telephone_number": "706-595-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006861",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001338",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2400 Mount Zion Pkwy",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

Verify at the official NPI Registry.