Individual provider Active NPI

Travis Keith Hardin, PA-C

  • Physician Assistant
  • Blue Ridge, GA
National Provider Identifier
1831503259
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7192 Issued in GA
Practice address
101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665
Phone
(706) 946-4200
Fax
(706) 492-3206
NPI assigned
Jun 13, 2014
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2300 NV
Physician Assistant 363A00000X 7192 GA Primary

Addresses

Primary practice location

101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665

Mailing address

101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665
Phone (706) 946-4200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827002233 GA Practitioner - Physician Assistant 7911125257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hidden Valley Medical Center IncGroup PAC ID 5799768248, 18 clinicians

Practice addresses (Care Compare)

101 Riverstone Vis
Blue Ridge, GA 30513-6665

2855 Old Hwy 5
Blue Ridge, GA 30513-6239

2855 Old Hwy 5 105
Blue Ridge, GA 30513-6239
Phone (706) 258-3661

2855 Old Hwy 5 N
Suite 111
Blue Ridge, GA 30513-6239
Phone (706) 632-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
88.06
Promoting interoperability
100
Improvement activities
40
Cost
80.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7192GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

101 Riverstone Vis
Ste 111
Blue Ridge, GA 30513
Phone (706) 258-4400

101 Riverstone Vis
Ste 114
Blue Ridge, GA 30513
Phone (706) 946-4248

101 Riverstone Vis
Ste 206
Blue Ridge, GA 30513
Phone (706) 492-3200

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

Interoperability endpoints

  • Direct secure messaging: travis.hardin.1@1563.direct.athenahealth.com
  • Direct secure messaging: travis.hardin.2@1563.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1831503259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 111",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136665",
            "telephone_number": "706-946-4200",
            "fax_number": "706-492-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 111",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136665",
            "telephone_number": "706-946-4200",
            "fax_number": "706-492-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "TRAVIS",
        "middle_name": "KEITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.