Kenneth Wesley Harper, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

035182 Issued in GA

Practice address

PO Box 360365
Decatur, GA 30036-0365

Phone

(404) 433-1819

Fax

(678) 418-2936

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kenneth.harper@kharpermd.gadirect.net

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1871669994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360365",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300360365",
            "telephone_number": "404-433-1819",
            "fax_number": "678-418-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 360365",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300360365",
            "telephone_number": "404-433-1819",
            "fax_number": "678-418-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KENNETH",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "035182",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00794912C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Harper
• Carol Berman Harper, LCSW
• Gabrielle Harper
• Ivy R Harper, BSN,RN
• Jaymee Lachelle Harper, LMHC-P
• Nicole Ann Harper
• Robert Kevin Harrell, MD
• Tameka Harris-James, LCSW
• Barbara Ann Harris, PT
• Cameron Leigh Harris

• Family Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.