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EZRA I. PAK-HARVEY
NPI 1699443762
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since September 02, 2021PECOS Enrolled
100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezra I. Pak-harvey NPPES

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

EZRA I. PAK-HARVEY (NPI 1699443762) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699443762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEZRA I. PAK-HARVEY
Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-1020
Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1020
Phone(404) 727-5655
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1699443762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

100 WOODRUFF CIR NE, Atlanta, GA 30322
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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 (PECOS)

Ezra I. Pak-harvey 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.

QSANET TEKIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
JOSHUA HYUNKEE KIM
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
PATRICIA ELIZABETH CHAN
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5910
KAMSIYONNA ADICHIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
BENNETT BOUSHKA
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
SOPHIE BLASBERG
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
DESTINY EKWUEME
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
ANDEE KOO
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5640

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 Ezra Pak-harvey's NPI number?

The NPI number for Ezra Pak-harvey is 1699443762. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Ezra Pak-harvey located?

Ezra Pak-harvey practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5655.

What is Ezra Pak-harvey's specialty?

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

Is Ezra Pak-harvey enrolled in Medicare?

Yes. Ezra Pak-harvey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ezra Pak-harvey was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.