Active NPI
Bobbie G Harmon, RD
- Registered Dietitian
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002470
- Practice address
- 4515 Premier Dr Ste 401
High Point, NC 27265-8356 - Phone
- (336) 802-2240
- Fax
- (336) 802-2243
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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
- Winston Salem, NC
- NPI 1003803032
NC
-
- Ophthalmology Physician
- High Point, NC
- NPI 1104959055
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1003114992
-
- Endocrinology, Diabetes & Metabolism Physician
- High Point, NC
- NPI 1609109099
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Clinical Medical Laboratory
- Conover, NC
- NPI 1871159145
-
- Family Medicine Physician
- Granite Falls, NC
- NPI 1770858938
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest Health Network LLC
Practice addresses (Care Compare)
4515 Premier Dr
Suite 401
High Point, NC 27265-8356
Phone (336) 802-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214001081 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 9638439581 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896260 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Past | Accepting new patients | |
| Cornerstone Health Care LLC | Past | Accepting new patients |
Locations
3903 N Elm St
Greensboro, NC 27455
Phone (336) 716-4131
3903 N Elm St
Ste Reet
Greensboro, NC 27455
1814 Westchester Dr
Ste 203C
High Point, NC 27262
4515 Premier Dr
Ste 401
High Point, NC 27265
Phone (336) 802-2240
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 896260 | NC | |
| Registered Dietitian | 133V00000X | L002470 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4515 Premier Dr Ste 401
High Point, NC 27265-8356
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2022.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1861909459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 PREMIER DR STE 401",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658356",
"telephone_number": "336-802-2240",
"fax_number": "336-802-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "BOBBIE",
"middle_name": "G",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "896260",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.