JOHN HARDISTY M.S., PA-C
NPI 1689097099
Physician Assistant - Medical in Decatur, AL

Q: What is John Hardisty's NPI number?

The NPI number for John Hardisty is 1689097099. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Q: What is John Hardisty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for John Hardisty was last updated on January 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2014PECOS EnrolledAccepts Medicare Assignment

1201 7TH ST SE, DECATUR, AL 35601(256) 341-3328(256) 341-2605 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Hardisty M.s., Pa-c NPPES

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

JOHN HARDISTY M.S., PA-C (NPI 1689097099) is an individual medical provider in Decatur, Alabama, licensed in Alabama (TA.1771) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689097099

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOHN HARDISTYCredential: M.S., PA-C

Location Address1201 7TH ST SEDecatur, AL 35601-3337

Mailing Address177 Ross DrMountain Brk, AL 35213-2547 · (205) 705-9178

Phone(256) 341-3328

Fax(256) 341-2605

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 22, 2014

✔ NPI 1689097099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AL · TA.1771

1201 7TH ST SE, Decatur, AL 35601

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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

John Hardisty M.s., Pa-c 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 ID941433411

PECOS Enrollment IDI20180920002330

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

38 services37 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

19 services19 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

19 services19 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

11 services11 patients

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.

BRIAN KOONCE CRNA

Nurse Anesthetist, Certified Registered