DR. CHARLES M HARDEN JR. MD
NPI 1053386508
General Practice in Kingsland, GA

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
130 N GROSS RD STE 201, KINGSLAND, GA 31548(912) 729-2795(912) 729-4117 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles M Harden Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES M HARDEN JR. MD (NPI 1053386508) is an individual general practice provider in Kingsland, Georgia, licensed in Georgia (044930) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System -- Camden Campus, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1053386508
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES M HARDEN JR.Credential: MD
Location Address130 N GROSS RD STE 201Kingsland, GA 31548-6277
Mailing Address130 N Gross Rd Ste 201Kingsland, GA 31548-6277 · (912) 729-2795 · Fax (912) 729-4117
Fax(912) 729-4117
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateFebruary 20, 2006
Last NPPES UpdateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
NPI 1053386508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 044930
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 044930 (GA)
130 N GROSS RD STE 201, Kingsland, GA 31548

Other Identifiers 2

Other206395GA · Blue Cross
Medicaid000799345DGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles M Harden Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870764632
PECOS Enrollment IDI20111025000162
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
130 N GROSS RD STE 201
KINGSLAND, GA 31548
Nurse Practitioner (Family)
130 N GROSS RD STE 201
KINGSLAND, GA 31548
Family Medicine
130 N GROSS RD STE 201
KINGSLAND, GA 31548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Harden's NPI number?

The NPI number for Charles Harden is 1053386508. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Charles Harden located?

Charles Harden practices at 130 N Gross Rd Ste 201, Kingsland, GA 31548. The listed phone number is (912) 729-2795.

What is Charles Harden's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Harden enrolled in Medicare?

Yes. Charles Harden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Charles Harden affiliated with any hospitals?

According to CMS data, Charles Harden is affiliated with Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Charles Harden was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.