| Harvest Health LLC | |
|
1207 5th St Se Cairo GA 39828-3144 | |
| (229) 231-3727 | |
| (229) 230-4046 |
| Full Name | Harvest Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1207 5th St Se, Cairo, Georgia |
| Authorized Official Name and Position | Robyn Long (OWNER) |
| Authorized Official Contact | 2292313727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Health LLC 1207 5th St Se Cairo GA 39828-3144 | Harvest Health LLC 1207 5th St Se Cairo GA 39828-3144 Ph: (229) 231-3727 |
| NPI Number | 1801772611 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Medicare PECOS PAC ID | 1850888231 |
|---|---|
| Medicare Enrollment ID | O20251017003506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801772611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Kristina Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962993519 PECOS PAC ID: 8123372315 Enrollment ID: I20181106001749 |
| Provider Name | Robyn Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831622273 PECOS PAC ID: 6709158488 Enrollment ID: I20200703000030 |
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