Individual provider Active NPI

Angelle Simon Harper, MD

  • Diagnostic Radiology Physician
  • Greenville, NC
National Provider Identifier
1225065816
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2007-01962 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Greenville, NC 27834
Phone
(252) 931-7638
Fax
(252) 931-7694
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TL28800 SC
Diagnostic Radiology Physician 2085R0202X 307269 LA
Diagnostic Radiology Physician 2085R0202X 2007-01962 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834

Mailing address

PO Box 30750
Greenville, NC 27833-0750
Phone (252) 931-7638

Other identifiers 2

IdentifierTypeStateIssuer
5910471MedicaidNC
147YFOtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC2 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
I20040210000092 LA Practitioner - Diagnostic Radiology 7517851702 Reassigns benefits to 2 organizations
I20080213000290 NC Practitioner - Diagnostic Radiology 7517851702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians

Practice addresses (Care Compare)

12327 Lake Sherwood Ave S
Baton Rouge, LA 70816-4453
Phone (252) 752-5000

2101 W Arlington Blvd
Suite 210
Greenville, NC 27834-5758
Phone (252) 752-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01962NCMDDiagnostic Radiology Physician
TL28800SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jan 1, 2020 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2018 Accepting new patients
Eastern Radiologists, Inc Diagnostic Radiology CurrentSince Jan 7, 2008 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Eastern Radiologists Inc Diagnostic Radiology CurrentSince Jan 7, 2008 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Aug 15, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Mid South Radiology Partners, LLC Diagnostic Radiology Past Accepting new patients
US Radiology Partners of Louisiana, Inc. Diagnostic Radiology Past Accepting new patients

Locations

402 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 744-9490

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

3300 Tillman Dr
Fl 1
Bensalem, PA 19020
Phone (215) 244-2430

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

1000 Meade St
Dunmore, PA 18512
Phone (570) 504-2500

23 Bustleton Pike
Feasterville Trevose, PA 19053
Phone (215) 322-5938

821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1400 Main St
Peckville, PA 18452
Phone (570) 307-7600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1059 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-6320

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

45 2nd Street Pike
Ste 100
Southampton, PA 18966
Phone (215) 633-3456

Organizations & group practices 10

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 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1225065816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-931-7638",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-931-7638",
            "fax_number": "252-931-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ANGELLE",
        "middle_name": "SIMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "TL28800",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "307269",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2007-01962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910471",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "147YF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.