NPIMap

Individual provider Active NPI

Khary O Harmon, MD

  • Emergency Medicine Physician
  • Marietta, GA
National Provider Identifier
1720026610
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
057636 Issued in GA
Practice address
2905 Arabian PL NE
Marietta, GA 30062-4631
Phone
(678) 699-7703
NPI assigned
Jun 3, 2006
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 057636 GA Primary

Addresses

Primary practice location

2905 Arabian PL NE
Marietta, GA 30062-4631

Mailing address

2905 Arabian PL NE
Marietta, GA 30062-4631
Phone (678) 699-7703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060705000290 GA Practitioner - Emergency Medicine 9931127081 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Observation and Telehealth Services, LLCGroup PAC ID 1951888262, 21 clinicians
Georgia Emergency Department Services, P.C.Group PAC ID 5597751032, 76 clinicians

Practice addresses (Care Compare)

1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 503-3000

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
91.38
Improvement activities
40
Cost
79.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emerginet, LLC CurrentSince Aug 15, 2012 Accepting new patients
Emerginet SRMC, LLC Current Accepting new patients
Georgia Observation and Telehealth Services, LLC CurrentSince Nov 19, 2025 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Aug 21, 2012 Accepting new patients
Trail Crossing Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Parkway Anesthesia Consultants, PC PastSince Feb 1, 2009 Accepting new patients
Sycamore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cartersville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

600 W Memorial Dr
Dallas, GA 30132
Phone (770) 443-7072

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1720026610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 ARABIAN PL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624631",
            "telephone_number": "678-699-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 ARABIAN PL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624631",
            "telephone_number": "678-699-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "KHARY",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "057636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.