Individual provider Active NPI

Tammy Michelle Harmsen, P.A.-C.

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1942289186
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4323 Issued in GA
Practice address
380 Hospital Dr BLDG a Ste 370
Macon, GA 31217
Phone
(478) 464-1617
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4323 GA Primary

Addresses

Primary practice location

380 Hospital Dr BLDG a Ste 370
Macon, GA 31217

Mailing address

380 Hospital Dr BLDG a Ste 370
Macon, GA 31217
Phone (478) 464-1617

Other practice location 1

688 Walnut St
Ste 200
Macon, GA 31201-2677
Phone (478) 742-7566

Other identifiers 1

IdentifierTypeStateIssuer
657936652AMedicaidGA

Other names 1

  • Tammy Michelle Shaw Professional name

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
I20041008000155 GA Practitioner - Physician Assistant 7315906963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

380 Hospital Dr
Suite 460
Macon, GA 31217-8001
Phone (478) 200-8152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004323GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georiga Fertility Institute Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tammy.harmsen@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1942289186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR BLDG A STE 370",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-464-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR BLDG A STE 370",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-464-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Walnut St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012677",
            "country_code": "US",
            "telephone_number": "478-742-7566",
            "fax_number": "478-743-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMSEN",
        "first_name": "TAMMY",
        "middle_name": "MICHELLE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "657936652A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "SHAW",
            "middle_name": "MICHELLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.