Individual provider Active NPI

John Andrew Harcourt, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Daphne, AL
National Provider Identifier
1104917764
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
28961 Issued in AL
Practice address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone
(251) 625-2663
Fax
(251) 625-3198
NPI assigned
Sep 27, 2006
Last updated
Mar 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 28961 AL Primary

Addresses

Primary practice location

1505 Daphne Ave
Daphne, AL 36526-4298

Mailing address

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20090903000412 AL Practitioner - Sports MedicinePractitioner - Family Practice 8123173739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Bone and Joint P CGroup PAC ID 0446213409, 32 clinicians

Practice addresses (Care Compare)

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28961ALMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C CurrentSince Aug 17, 2009 Accepting new patients
Baldwin Bone & Joint P C PastSince Aug 17, 2009 Accepting new patients

Locations

1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663

10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663

Interoperability endpoints

  • Direct secure messaging: aharcourt@bbj1037.srs-direct.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1104917764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCOURT",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "28961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.