Timothy J Hardie
Individual provider Active NPI Family Nurse Practitioner · Americus, GA
NPI 1912499641 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1912499641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-NP207244 (GA)
- Practice address
- 1102 E Lamar St Ste 1
Americus, GA 31709-3781 - Phone
- (229) 928-4755
- Fax
- (229) 928-4750
- NPI assigned
- May 30, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180907001202 | GA | Practitioner - Nurse Practitioner | 2365792678 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207244 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnect Health, Inc. | Current |
Accepting new patients | |
| Phoebe Worth Medical Center, Inc | Current |
Accepting new patients | |
| Phoebe Worth Medical Center, Inc | Current |
Accepting new patients | |
| Careconnect Health, Inc. | Current |
Accepting new patients |
Locations
1102 E Lamar St
Ste 1
Americus, GA 31709
Phone (229) 928-4755
510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324
807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851
1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965
1909 US Highway 82 W
Ste 5
Tifton, GA 31793
Phone (229) 382-6414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP207244 | GA | Yes |
Addresses
Primary practice location
1102 E Lamar St Ste 1
Americus, GA 31709-3781
Mailing address
1102 E Lamar St Ste 1
Americus, GA 31709-3781
Phone (229) 928-4755
Other providers in Americus, GA
- Tracy Kathleen Hall
- Marshanda Carrie Hamilton-Holmes
- Andrew Jackson Hamilton Jr.
- Kaylan Hand
- Hannah'S Joy LLC
- Jerome Harmon
- Maci Lenora Harmon
- Kiniya Harper
- Angela Denise Harris
- Marvin Donell Harris
All providers in Americus, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.