Active NPI
Reginald Brent Harbin, DPM
- Foot & Ankle Surgery Podiatrist
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM559
- Practice address
- 417 E Lamar Alexander Pkwy
Maryville, TN 37804-5816 - Phone
- (865) 983-0819
- Fax
- (865) 983-3265
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM559 | TN | Primary |
Addresses
Primary practice location
417 E Lamar Alexander Pkwy
Maryville, TN 37804-5816
Mailing address
417 E Lamar Alexander Pkwy
Maryville, TN 37804-5816
Phone (865) 983-0819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3353268 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reginald.harbin.1@4694.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Icahn School of Medicine at Mount Sinai, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
10800 Parkside Dr
Knoxville, TN 37934-1922
10810 Parkside Dr
Knoxville, TN 37934-1981
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011
308 Fountain View Cir
Alcoa, TN 37701-1945
Phone (865) 672-5290
7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176
7557 A Dannaher Dr
Suite G15
Powell, TN 37849-3558
Phone (865) 859-7377
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 12 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 199 |
| Removal or shaving of skin growth | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Hma Physician Management, LLC | Current | Accepting new patients | |
| Greeneville Orthopaedic Clinic, P.C. | Past | Accepting new patients |
Locations
308 Fountain View Cir
Alcoa, TN 37701
Phone (865) 392-3400
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
10800 Parkside Dr
Ste 207
Knoxville, TN 37934
Phone (865) 218-6175
101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058
417 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 982-0886
616 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 273-0008
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
-
- Specialist
- Greeneville, TN
- NPI 1407949100
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1154352599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045816",
"telephone_number": "865-983-0819",
"fax_number": "865-983-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045816",
"telephone_number": "865-983-0819",
"fax_number": "865-983-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBIN",
"first_name": "REGINALD",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "DPM559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3353268",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reginald.harbin.1@4694.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "417 E LaMar Alexander Pkwy",
"city": "Maryville",
"state": "TN",
"country_code": "US",
"postal_code": "378045816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.