HARRIERA SIDDIQ
NPI 1063192714
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since July 18, 2023PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-3186 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harriera Siddiq NPPES

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

HARRIERA SIDDIQ (NPI 1063192714) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063192714
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHARRIERA SIDDIQ
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1120 15th StAugusta, GA 30912-0004
Sole ProprietorNo
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1063192714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST, Augusta, GA 30912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Harriera Siddiq is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Harriera Siddiq's NPI number?

The NPI number for Harriera Siddiq is 1063192714. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Harriera Siddiq located?

Harriera Siddiq practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3186.

What is Harriera Siddiq's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Harriera Siddiq enrolled in Medicare?

Yes. Harriera Siddiq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harriera Siddiq was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.