Active NPI
Glenn Knoell Harvin, M.D.
- Gastroenterology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 200701713
- Practice address
- 521 Moye Blvd FL 3
Ecu Physicians Gastroenterology
Greenville, NC 27834-2849 - Phone
- (252) 744-1400
- Fax
- (252) 744-2899
- NPI assigned
- Oct 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 200701713 | NC | Primary |
| Gastroenterology Physician | 207RG0100X | 23985 | SC |
Addresses
Primary practice location
521 Moye Blvd FL 3
Ecu Physicians Gastroenterology
Greenville, NC 27834-2849
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23985 | Other | SC | STATE LICENSE NUMBER |
| 5909351 | Medicaid | NC | |
| 148PY | Other | NC | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gharvin21996@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Gastroenterology
- Education
- Brody School of Medicine at East Carolina University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
517 Moye Blvd
Greenville, NC 27834-2849
Phone (252) 816-6000
521 Moye Blvd C
Greenville, NC 27834-2849
Phone (252) 744-1440
606 E 12TH St
Washington, NC 27889-3409
Phone (252) 974-9460
608 E 12TH St
Vidant Multispecialty Clinic Washiington
Washington, NC 27889-3409
Phone (252) 974-7500
628 E 12TH St
Vidant Beaufort Hospitalists
Washington, NC 27889-3409
Phone (252) 975-4178
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701713 | NC | MD | Gastroenterology Physician |
| 23985 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moye Medical Endoscopy Center LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
521 Moye Blvd
#C
Greenville, NC 27834
Phone (252) 744-1400
521 Moye Blvd
Fl 3
Greenville, NC 27834
Phone (252) 744-1400
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Interoperability endpoints
- gharvin21996@direct.vidanthealth.com
- gharvin21996@direct.ecuhealth.com
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Ambulatory Surgical Clinic/Center
- Greenville, NC
- NPI 1508041666
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
- General Acute Care Hospital
- Tarboro, NC
- NPI 1699757393
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1386733558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MOYE BLVD FL 3",
"address_2": "ECU PHYSICIANS GASTROENTEROLOGY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342849",
"telephone_number": "252-744-1400",
"fax_number": "252-744-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVIN",
"first_name": "GLENN",
"middle_name": "KNOELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "200701713",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "23985",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "23985",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909351",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "148PY",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gharvin21996@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.