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HARRISBURG FAMILY HEALTH CARE, INC.
NPI 1104141555
Clinic/Center in Augusta, GA

Active since March 29, 2010CLIA 11D2325998 · Waiver
423 CRAWFORD AVE, AUGUSTA, GA 30904(706) 496-3885(706) 496-3886 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harrisburg Family Health Care, Inc. NPPES

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

HARRISBURG FAMILY HEALTH CARE, INC. (NPI 1104141555) is a healthcare organization registered as a clinic/center in Augusta, Georgia and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists William M Shaffer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104141555
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHARRISBURG FAMILY HEALTH CARE, INC.
Location Address423 CRAWFORD AVEAugusta, GA 30904-3641
Mailing Address423 Crawford AveAugusta, GA 30904-3641 · (706) 496-3885 · Fax (706) 496-3886
Phone(706) 496-3885
Fax(706) 496-3886
Organization SubpartNo
Authorized OfficialWilliam M ShafferExecutive Director · (706) 533-0983
Enumeration DateMarch 29, 2010
✔ NPI 1104141555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
423 CRAWFORD AVE, Augusta, GA 30904
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2325998

Harrisburg Family Health Care · Augusta, GA
Active · expires Jun 24, 2027
CLIA Number11D2325998
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorEbony B. Whisenant
Laboratory Phone(706) 496-3885
Laboratory LocationHarrisburg Family Health Care631 Chafee Avenue, Suite 101, Augusta, GA 30904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Harrisburg Family Health Care, Inc.'s NPI number?

The NPI number for Harrisburg Family Health Care, Inc. is 1104141555. It was assigned to this organization in the NPPES registry on March 29, 2010.

Where is Harrisburg Family Health Care, Inc. located?

Harrisburg Family Health Care, Inc. is located at 423 Crawford Ave, Augusta, GA 30904. The listed phone number is (706) 496-3885.

What is Harrisburg Family Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Harrisburg Family Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2325998) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harrisburg Family Health Care, Inc. was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.