GREGORY S HAROLD (MD) – Family Medicine Physician, NPI 1619923869

GREGORY S HAROLD (MD) is a healthcare provider. based in Perry, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 022774 (GA). The NPI Number for GREGORY S HAROLD (MD) is 1619923869

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY S HAROLD (MD)
NPI
1619923869
Phone
(478) 987-1534
Address
144 WIMBISH WAY
Enumeration Date
26 May 2006
Last Update Date
4 March 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4788457462
Graduation Year
1980 (46 years ago)
PAC ID
6507751161
Group Practice PAC ID
7214294016
Professional Enrollment ID
I20040512000263
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for GREGORY S HAROLD (MD)

  • 144 WIMBISH WAY

    PERRY, GA 310699685

    Phone: (478) 987-1534

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040512000263IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31069)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214294016View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for GREGORY S HAROLD (MD)?
GREGORY S HAROLD (MD) — NPI 1619923869 — is the standard way to identify this listing.
Does CMS list GREGORY S HAROLD (MD) as active?
Yes — GREGORY S HAROLD (MD) is active in the NPI listing used on this page.
What taxonomy line describes GREGORY S HAROLD (MD)?
For research purposes, treat GREGORY S HAROLD (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does GREGORY S HAROLD (MD) list a practice location?
Patients near Perry, Georgia may find GREGORY S HAROLD (MD) in results; validate coverage separately.
Is the information about GREGORY S HAROLD (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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