Individual provider Active NPI

David Joseph Herren, MD

  • Ophthalmology Physician
  • Rome, GA
National Provider Identifier
1194083451
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
075402 Issued in GA
Practice address
550 Redmond Rd NW
Rome, GA 30165-1416
Phone
(706) 233-8502
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 075402 GA Primary

Addresses

Primary practice location

550 Redmond Rd NW
Rome, GA 30165-1416

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (706) 295-5331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.herren.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160617001140 GA Practitioner - Ophthalmology 4082851910 Reassigns benefits to 1 organization
I20160707000720 AL Practitioner - Ophthalmology 4082851910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

200 Medical Ctr Dr
Fort Payne, AL 35968-3458
Phone (256) 845-3150

504 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3130

550 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3340

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075402GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Jul 31, 2016 Accepting new patients
Harbin Clinic, LLC CurrentSince Jul 31, 2016 Accepting new patients

Locations

280 W Main St
Centre, AL 35960
Phone (256) 927-4030

802 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-5555

103 Grand Ave SW
Fort Payne, AL 35967
Phone (256) 845-0231

900 Gault Ave S
#A
Fort Payne, AL 35967

94 Church Ave
Rainsville, AL 35986
Phone (256) 638-6386

5470 Martha Berry Hwy NE
Armuchee, GA 30105
Phone (706) 235-1156

855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

14 Cherokee Rd
Cedartown, GA 30125
Phone (770) 748-2567

530 Hunter St
Rockmart, GA 30153
Phone (770) 684-5650

16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

550 Redmond Rd NW
Rome, GA 30165
Phone (762) 235-3550

Interoperability endpoints

  • Direct secure messaging: dherren3004524@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: dherre12@yourcarecommunity.org

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1194083451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651416",
            "telephone_number": "706-233-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "075402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.herren.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "550 Redmond Rd NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.