Individual provider Active NPI

Kenneth Earl Harper, M.D.

  • Surgery Physician
  • Macon, GA
National Provider Identifier
1922062496
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25983 Issued in GA
Practice address
556 3Rd St
Macon, GA 31201-7934
Phone
(478) 743-2472
Fax
(478) 743-1516
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25983 GA Primary

Addresses

Primary practice location

556 3Rd St
Macon, GA 31201-7934

Mailing address

556 3Rd St
Macon, GA 31201-7934
Phone (478) 743-2472

Other identifiers 2

IdentifierTypeStateIssuer
00293906A2MedicaidGA
581589893OtherGATAX ID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005001184 GA Practitioner - General Surgery 5496714552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Specialists of the SouthGroup PAC ID 0547435372, 6 clinicians

Practice addresses (Care Compare)

556 3Rd St
Suite a
Macon, GA 31201-7993
Phone (478) 743-2472

Merit-based Incentive Payment System (MIPS)

Final score
97.65 of 100Reported as individual
Quality
95.72
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal138
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25983GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Specialists of the South CurrentSince Jan 1, 2000 Accepting new patients

Locations

556 3rd St
Macon, GA 31201
Phone (478) 475-0600

556 3rd St
Ste A
Macon, GA 31201
Phone (478) 743-2209

151 S Houston Lake Rd
Ste 110
Warner Robins, GA 31088
Phone (478) 333-3026

Interoperability endpoints

  • Direct secure messaging: kenneth.harper.1@20306.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20306/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922062496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017934",
            "telephone_number": "478-743-2472",
            "fax_number": "478-743-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017934",
            "telephone_number": "478-743-2472",
            "fax_number": "478-743-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "25983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00293906A2",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "581589893",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.