Individual provider Active NPI

Joseph Craig Harrell, O.D.

  • Optometrist
  • Daphne, AL
National Provider Identifier
1801867486
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-873-TA-407 Issued in AL
Practice address
7101 US Highway 90 Ste 204
Daphne, AL 36526-9517
Phone
(251) 410-9000
Fax
(251) 410-9200
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-873-TA-407 AL Primary

Addresses

Primary practice location

7101 US Highway 90 Ste 204
Daphne, AL 36526-9517

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other identifiers 2

IdentifierTypeStateIssuer
99699940MedicaidAL
77078MedicaidAL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000352 AL Practitioner - Optometry 7911173760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

1302 US Hwy 98
Daphne, AL 36526-4256
Phone (251) 410-9000

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-873-TA-407ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Premier Health Management, Inc. Optometrist CurrentSince Feb 1, 2016 Accepting new patients
CFV, Inc Optometrist Past Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. Optometrist Past Accepting new patients
Premier Health Management, Inc. Past Accepting new patients
Premier Eye Clinic , PLLC Optometrist Past Accepting new patients

Locations

1302 US Highway 98
Daphne, AL 36526
Phone (251) 410-9000

1330 N McKenzie St
Foley, AL 36535
Phone (251) 943-1512

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

Interoperability endpoints

  • Direct secure messaging: jharrell@pm.gwaydirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1801867486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90 STE 204",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269517",
            "telephone_number": "251-410-9000",
            "fax_number": "251-410-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JOSEPH",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-873-TA-407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99699940",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77078",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.