Robert Kevin Harrell, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

053234 Issued in GA

Practice address

428 Winn CT
Decatur, GA 30030-1726

Phone

(770) 384-0284

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of North Carolina at Chapel Hill School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chestatee Pathology Associates, PCGroup PAC ID 0840260097, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chestatee Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Smyrna, GA
  • NPI 1568403988
  Medicare reassignment Care Compare group
• South Suburban Pathologists PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Conyers, GA
  • NPI 1720016801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1063426526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WINN CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WINN CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301726",
            "telephone_number": "770-384-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Upper Riverdale Rd SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "404-770-7014",
            "fax_number": "770-991-8689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3949 S Cobb Dr SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806342",
            "country_code": "US",
            "telephone_number": "770-438-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ROBERT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "053234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Harper
• Ivy R Harper, BSN,RN
• Jaymee Lachelle Harper, LMHC-P
• Kenneth Wesley Harper, M.D.
• Nicole Ann Harper
• Tameka Harris-James, LCSW
• Barbara Ann Harris, PT
• Cameron Leigh Harris
• Denise Alicia Harris, FNP
• Eliza Grace Harris, PA-C

• Anatomic Pathology & Clinical Pathology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.