Organization
HARLEY'S ENDEAVORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEWATT MCGRAW SIMS MD (OWNER)
(229) 387-8061
Entity
Organization
Contact information
Practice address
1622 MADISON AVE, TIFTON, GA 31794-3756
(229) 387-8061
(229) 387-8064
Mailing address
1622 MADISON AVE, TIFTON, GA 31794-3756
(229) 387-8061
(229) 387-8064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/08/2018
Last updated
07/07/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up