Active NPI
Matthew Harrison
- Pharmacist
- Eatonton, GA
National Provider Identifier
1801490834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028506
- Practice address
- 303 S Jefferson Ave
Eatonton, GA 31024-1129 - Phone
- (706) 485-6262
- NPI assigned
- Nov 30, 2020
- Last updated
- May 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028506 | GA | Primary |
Addresses
Primary practice location
303 S Jefferson Ave
Eatonton, GA 31024-1129
Mailing address
303 S Jefferson Ave
Eatonton, GA 31024-1192
Phone (706) 485-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028506 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Health Services | Current | Accepting new patients |
Locations
303 S Jefferson Ave
Eatonton, GA 31024
Phone (706) 485-6262
Organizations & group practices 1
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1801490834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S JEFFERSON AVE",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241192",
"telephone_number": "706-485-6262",
"fax_number": "706-485-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S JEFFERSON AVE",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241129",
"telephone_number": "706-485-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.