Susan M Harding, MD
Individual provider Active NPI Internal Medicine Physician · Quitman, GA
NPI 1952396798 · NPPES record last updated Nov 5, 2007
Key facts
- NPI
- 1952396798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 31013 (GA)
- Practice address
- 905 N Court St
Quitman, GA 31643-1362 - Phone
- (229) 263-8956
- Fax
- (229) 263-4671
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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
- Crescent Home Health
- Archbold Brooks
- Archbold Brooks
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123000725 | GA | Practitioner - Internal Medicine | 7012986581 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31013 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan M. Harding MD PC | Internal Medicine | Current |
Accepting new patients |
| Brooks County Hospital | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31013 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000376087A | Medicaid | GA | |
| 31013 | Other | GA | STATE OF GA |
| 498108 | Other | BCBS |
Other providers in Quitman, GA
- Georgia Pines Community Service Board
- Donna Reid Graham
- Amanda Leigh Gray
- Wyatt Haney
- Jared Hanna
- Michael William Harrell
- Jennifer H Hightower
- Ryan Hudson
- Ramsey B Hughes
- J.H. Harvey Co., LLC
All providers in Quitman, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2007. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.