Mark R Harvey, MD
Individual provider Active NPI Internal Medicine Physician · Sandersville, GA
NPI 1053421172 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1053421172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 033984 (GA)
- Practice address
- 203 Medical Arts Place
Suite 3
Sandersville, GA 31082 - Phone
- (478) 552-0967
- Fax
- (478) 552-8541
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 Medical Arts PL
Suite 3
Sandersville, GA 31082-2132
Phone (478) 552-0967
Hospital & facility affiliations
- University Home Health Services
- Washington County Regional Medical Center
- Wellstar MCG Health, Affiliated With Med Col
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000105 | GA | Practitioner - Internal Medicine | 8224154133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033984 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark R Harvey MD PC | Internal Medicine | Current |
Accepting new patients |
Locations
203 Medical Arts Pl
Ste 3
Sandersville, GA 31082
Phone (478) 552-0967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 033984 | GA | Yes |
Addresses
Primary practice location
203 Medical Arts Place
Suite 3
Sandersville, GA 31082
Mailing address
203 Medical Arts Place
Suite 3
Sandersville, GA 31082
Phone (478) 552-0967
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00456079A | Medicaid | GA |
Other providers in Sandersville, GA
- Nora Marie Hall
- Virginia Fay Hall
- Robert Richard Halvorsen
- Annette Harper
- Vanesha Harris
- Curritious Tyrese Havior
- Heritage Inn of Sandersville LLC
- Beverli L. Horton
- Hospital Authority of Washington County
- Hospital Authority of Washington County
All providers in Sandersville, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.