Holly Beth Harrison, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005089 Issued in GA

Practice address

503 S 8TH St
Griffin, GA 30224-4211

Phone

(770) 227-5505

Fax

(770) 412-7881

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003

  GA

  Medicare reassignment Care Compare group
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  Care Compare group NPD
• Griffin OBGYN Clinic PA

  • Obstetrics & Gynecology Physician
  • Griffin, GA
  • NPI 1558415919

  GA

  Medicare reassignment
• Upson Womens Services LLC

  • Obstetrics & Gynecology Physician
  • Thomaston, GA
  • NPI 1881842821

  GA

  Medicare reassignment
• Wellstar Medical Group, LLC

  • Internal Medicine Physician
  • Douglasville, GA
  • NPI 1386940922
  NPD
• Michael E Lynch Sr MD PC

  • Obstetrics Physician
  • Griffin, GA
  • NPI 1992984686
  NPD (past)
• Upson Family Physicians, LC

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1083842918
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1962609784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244211",
            "telephone_number": "770-227-5505",
            "fax_number": "770-412-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244211",
            "telephone_number": "770-227-5505",
            "fax_number": "770-412-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Harisinghani, MD
• Ben Harnage, PHYSICAL THERAPIST
• Loretta Lynne Harper
• Imeh Harris, LAPC
• Nicole Harris, RN, BSN
• Andrew John Hartpence, D.C.
• Lori H Harvey
• Haley Danielle Hatcher, MS., CCC-SLP
• Roger L Hatcher III
• Preston P Hawkins, M.D.

• All providers in Griffin, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.