Individual provider Active NPI

Harvey Brian Balfour, MD

  • Radiation Oncology Physician
  • Sumter, SC
National Provider Identifier
1760473185
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
17062 Issued in SC
Practice address
130 N Washington St
Sumter, SC 29150-4920
Phone
(803) 774-8888
NPI assigned
Nov 3, 2005
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 14456 GA
Radiation Oncology Physician 2085R0001X 17062 SC Primary

Addresses

Primary practice location

130 N Washington St
Sumter, SC 29150-4920

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617

Other practice location 1

770 Pine St
Suite L-20
Macon, GA 31201-7517
Phone (478) 743-3466

Other identifiers 1

IdentifierTypeStateIssuer
275671400MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20041005000724 GA Practitioner - Radiation Oncology 3678532769 Reassigns benefits to 1 organization
I20201119001644 SC Practitioner - Radiation Oncology 3678532769 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014456GAMDMental Health Counselor
12546TNMDSocial Worker
14456GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 19, 2020 Accepting new patients
Hamilton Physician Group Inc CurrentSince Jun 1, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 19, 2020 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Radiation Oncology of Mississippi PA Radiation Oncology Past Accepting new patients
Central Florida Cancer Institute PA Past Accepting new patients
Radiation Medicine Specialists, P.C. Radiation Oncology Past Accepting new patients
NMC LLC Radiation Oncology Past Accepting new patients
Satilla Cancer Treatment Centers, LLC Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

130 N Washington St
Sumter, SC 29150
Phone (803) 774-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20634/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1760473185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504920",
            "telephone_number": "803-774-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Pine St",
            "address_2": "Suite L-20",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312017517",
            "country_code": "US",
            "telephone_number": "478-743-3466",
            "fax_number": "478-746-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "HARVEY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "14456",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "17062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275671400",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.