Active NPI
Harold Adrian Minerve, M.D.
- General Practice Physician
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 44544
- Practice address
- 4536 Chamblee Dunwoody Rd
Ste 250
Dunwoody, GA 30338-6200 - Phone
- (770) 455-6100
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 44544 | GA | |
| General Practice Physician | 208D00000X | 44544 | GA | Primary |
Addresses
Primary practice location
4536 Chamblee Dunwoody Rd
Ste 250
Dunwoody, GA 30338-6200
Mailing address
4046 Preston Oaks PL
Lithonia, GA 30038-3986
Phone (770) 696-2071
Other practice location 1
7444 Hannover Pkwy S Ste 225
Stockbridge, GA 30281-7847
Phone (770) 679-0401
Other practice location 2
3579 Highway 138 SE Ste 103
Stockbridge, GA 30281-4127
Phone (770) 629-4374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000816582C | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York Downstate Medical Center, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
833 N Hairston Rd
Stone Mountain, GA 30083-3423
Phone (770) 897-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44544 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Mountain Immediate Medical Care, Inc. | Current | Accepting new patients | |
| Southern Crescent Medical Center, LLC | Current | Accepting new patients | |
| Immune Recovery Foundation LLC | Past | Accepting new patients | |
| Friendship Community Healthcare Inc | Past | Accepting new patients | |
| Patriot Healthcare of Georgia, LLC | Past | Accepting new patients | |
| Immune Recovery Institute Inc | Past | Accepting new patients |
Locations
3579 Highway 138 SE
Ste 103
Stockbridge, GA 30281
Phone (770) 629-4374
833 N Hairston Rd
Stone Mtn, GA 30083
Phone (770) 879-5553
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1578111910
-
- Health Maintenance Organization
- Stone Mountain, GA
- NPI 1578569323
-
- Geriatric Medicine (Family Medicine) Physician
- Atlanta, GA
- NPI 1033241666
-
- Exclusive Provider Organization
- Atlanta, GA
- NPI 1831128578
-
- Family Medicine Physician
- Dunwoody, GA
- NPI 1295050987
-
- Geriatric Medicine (Family Medicine) Physician
- Stone Mountain, GA
- NPI 1558830919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569628800000",
"number": "1184837841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 PRESTON OAKS PL",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300383986",
"telephone_number": "770-696-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4536 CHAMBLEE DUNWOODY RD",
"address_2": "STE 250",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386200",
"telephone_number": "770-455-6100"
}
],
"practiceLocations": [
{
"address_1": "7444 Hannover Pkwy S Ste 225",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302817847",
"country_code": "US",
"telephone_number": "770-679-0401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3579 Highway 138 SE Ste 103",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302814127",
"country_code": "US",
"telephone_number": "770-629-4374",
"fax_number": "678-782-6818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINERVE",
"first_name": "HAROLD",
"middle_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2019-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "44544",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "44544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000816582C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.