EASTLYN E HARDING-MARIN (M.D.) – Family Medicine Physician, NPI 1912944083

EASTLYN E HARDING-MARIN (M.D.) is a healthcare provider. based in Ellenwood, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 55689 (GA). The NPI Number for EASTLYN E HARDING-MARIN (M.D.) is 1912944083

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
EASTLYN E HARDING-MARIN (M.D.)
NPI
1912944083
Phone
(770) 507-4554
Address
211 FAIRVIEW RD
Enumeration Date
31 May 2006
Last Update Date
9 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
4587629456
Professional Enrollment ID
I20060629000289
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 EASTLYN E HARDING-MARIN (M.D.)

  • 211 FAIRVIEW RD

    ELLENWOOD, GA 302942721

    Phone: (770) 507-4554

    Fax: (770) 507-6413

    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)

CMS reports 16 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Novo Nordisk Inc ($205).

Total Amount

$262

General + Research + Ownership

Payments

16

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-06-29

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
I20060629000289IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2614$0
36415Insertion of needle into vein for collection of blood sample2215$0
View full utilization report →

Insurance plans in this area (ZIP 30294)

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Provider's Procedures

EASTLYN E HARDING-MARIN (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test1614

Reviews

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Frequently asked questions

Does EASTLYN E HARDING-MARIN (M.D.) have a public NPI I can cite?
Public records show EASTLYN E HARDING-MARIN (M.D.) under NPI 1912944083.
Does the public listing show EASTLYN E HARDING-MARIN (M.D.) as active?
EASTLYN E HARDING-MARIN (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does EASTLYN E HARDING-MARIN (M.D.) provide?
EASTLYN E HARDING-MARIN (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EASTLYN E HARDING-MARIN (M.D.) tied to Ellenwood, Georgia?
If you are local to Ellenwood, Georgia, EASTLYN E HARDING-MARIN (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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