Individual provider Active NPI

Stephen Wayne Harbin, MD

  • Family Medicine Physician
  • Decatur, AL
National Provider Identifier
1396813002
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AL18269 Issued in AL
Practice address
1215 7TH Street SE
Suite 110
Decatur, AL 35601-3371
Phone
(256) 306-1655
Fax
(256) 306-1601
NPI assigned
Dec 1, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL18269 AL Primary

Addresses

Primary practice location

1215 7TH Street SE
Suite 110
Decatur, AL 35601-3371

Mailing address

1215 7TH Street SE
Suite 110
Decatur, AL 35601-3371
Phone (256) 306-1655

Other identifiers 2

IdentifierTypeStateIssuer
009914970MedicaidAL
529902310MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000443 AL Practitioner - Family Practice 1355472622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 7TH St SE
Suite 110
Decatur, AL 35601-3381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.11 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
70.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions79
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL18269ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Family Medicine PC Family Medicine CurrentSince Nov 11, 1998 Accepting new patients

Locations

1215 7th St SE
Ste 110
Decatur, AL 35601
Phone (256) 306-1655

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1396813002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 7TH STREET SE",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013371",
            "telephone_number": "256-306-1655",
            "fax_number": "256-306-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH STREET SE",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013371",
            "telephone_number": "256-306-1655",
            "fax_number": "256-306-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL18269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009914970",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902310",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.