Individual provider Active NPI

Calara K Hardin

  • General Practice Dentistry
  • Albany, GA
National Provider Identifier
1881765055
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123710 Issued in GA
Practice address
1412 W Oakridge Dr
Albany, GA 31707-5307
Phone
(229) 435-2424
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN123710 GA Primary

Addresses

Primary practice location

1412 W Oakridge Dr
Albany, GA 31707-5307

Mailing address

1412 W Oakridge Dr
Albany, GA 31707-5307
Phone (229) 435-2424

Other identifiers 1

IdentifierTypeStateIssuer
200283070MedicaidIN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001655 GA Practitioner - Dentist 3173993714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Apr 28, 2025 Accepting new patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

1412 W Oakridge Dr
Albany, GA 31707
Phone (229) 435-2424

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1881765055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "CALARA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200283070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.