Individual provider Active NPI

Starr Harvill

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1730507526
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN160142 Issued in GA
Practice address
500 Spillers Way
Warner Robins, GA 31088-0513
Phone
(478) 953-4844
Fax
(478) 953-4824
NPI assigned
Mar 31, 2014
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012136 KY
Family Nurse Practitioner 363LF0000X RN160142 GA Primary

Addresses

Primary practice location

500 Spillers Way
Warner Robins, GA 31088-0513

Mailing address

500 Spillers Way
Warner Robins, GA 31088-0513
Phone (478) 953-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140616001258 GA Practitioner - Nurse Practitioner 1759505639 Reassigns benefits to 3 organizations
I20200327002408 KY Practitioner - Nurse Practitioner 1759505639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN160142GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services PC Nurse Practitioner CurrentSince Jul 11, 2018 Accepting new patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Jul 11, 2018 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jan 19, 2020 Accepting new patients
Central Georgia Health Care Center, PC CurrentSince Apr 14, 2014 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Jul 31, 2019 Accepting new patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients

Locations

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

500 Spillers Way
Warner Robins, GA 31088
Phone (478) 953-4844

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1730507526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILL",
        "first_name": "STARR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN160142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.