Individual provider Active NPI

Reginald Brent Harbin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Maryville, TN
National Provider Identifier
1154352599
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM559 Issued in TN
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

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3353268MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000256 TN Practitioner - Podiatry 2860470283 Reassigns benefits to 1 organization

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
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

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 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue199
Removal or shaving of skin growth106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC CurrentSince Jul 1, 2015 Accepting new patients
Greeneville Orthopaedic Clinic, P.C. PastSince Mar 1, 2001 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.