Individual provider Active NPI

Susan M Harding, MD

  • Internal Medicine Physician
  • Quitman, GA
National Provider Identifier
1952396798
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31013 Issued in GA
Practice address
905 N Court St
Quitman, GA 31643-1362
Phone
(229) 263-8956
Fax
(229) 263-4671
NPI assigned
Sep 19, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31013 GA Primary

Addresses

Primary practice location

905 N Court St
Quitman, GA 31643-1362

Mailing address

PO Box 148
Quitman, GA 31643-0148
Phone (229) 263-8956

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
I20101123000725 GA Practitioner - Internal Medicine 7012986581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 N Court St
Quitman, GA 31643-1362
Phone (229) 263-8956

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31013GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks County Hospital CurrentSince Jan 1, 1999 Accepting new patients
Susan M. Harding MD PC Internal Medicine CurrentSince Jan 1, 1994 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Rocky Mountain Holdings, LLC Past Accepting new patients
Airport Clinic Inc Past Accepting new patients

Locations

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

905 N Court St
Quitman, GA 31643
Phone (229) 263-8956

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

2740 Madison Hwy
Valdosta, GA 31601
Phone (229) 242-9003

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1952396798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316430148",
            "telephone_number": "229-263-8956",
            "fax_number": "229-263-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431362",
            "telephone_number": "229-263-8956",
            "fax_number": "229-263-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "31013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

Verify at the official NPI Registry.