Individual provider Active NPI

Timothy J Hardie

  • Family Nurse Practitioner
  • Americus, GA
National Provider Identifier
1912499641
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP207244 Issued in 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
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP207244 GA Primary

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

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
I20180907001202 GA Practitioner - Nurse Practitioner 2365792678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP207244GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jul 10, 2025 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Jun 1, 2018 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Jun 1, 2018 Accepting new patients
Careconnect Health, Inc. CurrentSince Jul 10, 2025 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

1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

1909 US Highway 82 W
Ste 5
Tifton, GA 31793
Phone (229) 382-6414

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1912499641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E LAMAR ST STE 1",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093781",
            "telephone_number": "229-928-4755",
            "fax_number": "229-928-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E LAMAR ST STE 1",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093781",
            "telephone_number": "229-928-4755",
            "fax_number": "229-928-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP207244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.