Active NPI
Travis Keith Hardin, PA-C
- Physician Assistant
- Blue Ridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7192
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7192 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Hidden Valley Medical Center Inc | Current | 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
- travis.hardin.1@1563.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Blue Ridge, GA
- NPI 1073516621
-
dba Appalachian Physicians Group
- Rural Health Clinic/Center
- Blue Ridge, GA
- NPI 1710215355
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Murray
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
dba Blue Ridge Medical Center
- Critical Access Hospital
- Blue Ridge, GA
- NPI 1851362263
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.