NPIMap

Organization Active NPI

Harper & Associates Family Medicine, P.C.

  • Family Medicine Physician
  • Lithonia, GA
National Provider Identifier
1982750048
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
035182 Issued in GA
Legal business name
HARPER & ASSOCIATES FAMILY MEDICINE, P.C.
Practice address
5910 Hillandale Drive
Suite 301
Lithonia, GA 30058
Phone
(678) 418-2120
Fax
(678) 418-2936
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Kenneth Harper, MD
Title
President
Phone
(678) 418-2120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 035182 GA Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 055830 GA
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 004798 GA

Addresses

Primary practice location

5910 Hillandale Drive
Suite 301
Lithonia, GA 30058

Mailing address

P.O. Box 856
Lithonia, GA 30058
Phone (678) 418-2120

Other identifiers 3

IdentifierTypeStateIssuer
00794912CMedicaidGA
004798OtherGAAMBROZINE TRENTJOHNNEY PA
170986344AMedicaidGA

Other names 1

  • Kenneth Harper, MD Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kenneth.harper@kharpermd.gadirect.net
  • Direct secure messaging: kironda.lewis@kharpermd.gadirect.net
  • Direct secure messaging: ambrozine.johnney@kharpermd.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1982750048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 856",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "678-418-2120",
            "fax_number": "678-418-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DRIVE",
            "address_2": "SUITE 301",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "678-418-2120",
            "fax_number": "678-418-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARPER & ASSOCIATES FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-418-2120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035182",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055830",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00794912C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBROZINE TRENTJOHNNEY PA",
            "identifier": "004798",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170986344A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Harper, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.