ANDREW HARLEY
NPI 1669215513
Student in an Organized Health Care Education/Training Program in Fort Gordon, GA
About Andrew Harley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW HARLEY (NPI 1669215513) is an individual student in an organized health care education/training program in Fort Gordon, Georgia and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Harley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT GORDON, GA 30905
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 Andrew Harley's NPI number?
The NPI number for Andrew Harley is 1669215513. It was assigned to this individual provider in the NPPES registry on June 18, 2024.
Where is Andrew Harley located?
Andrew Harley practices at 300 E. Hospital Road, Fort Gordon, GA 30905. The listed phone number is (706) 787-5811.
What is Andrew Harley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrew Harley enrolled in Medicare?
Yes. Andrew Harley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andrew Harley was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Andrew Harley · NPI 1669215513
Student in an Organized Health Care Education/Training Program provider in Fort Gordon, Georgia. Individual provider, active in the CMS NPPES registry since June 18, 2024.
## Identity
- **NPI:** 1669215513 (Entity type: Individual)
- **Enumerated:** June 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 300 E. HOSPITAL ROAD, Fort Gordon, GA 30905-5650
- **Phone:** (706) 787-5811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669215513) · Data from the CMS NPPES public registry.