Individual provider Active NPI

Roy Harvey, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartsville, SC
National Provider Identifier
1902821804
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ANP19663 Issued in SC
Practice address
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone
(866) 214-8600
Fax
(678) 888-0390
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ANP19663 SC Primary

Addresses

Primary practice location

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710

Mailing address

1343 Canton Rd
Ste C
Marietta, GA 30066-6079
Phone (866) 214-8600

Other identifiers 2

IdentifierTypeStateIssuer
009954880MedicaidAL
051502638OtherALBLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001618 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072656669 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

120 Gateway Corp Blvd
Columbia, SC 29203-9611
Phone (803) 432-4311

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ANP19663SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon Nurse Anesthetist, Certified Registered Current Accepting new patients
McLeod Health Clarendon CurrentSince Dec 10, 2016 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2016 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 9, 2016 Accepting new patients
McLeod Health Clarendon CurrentSince Dec 10, 2016 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2021 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2016 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 15, 2016 Accepting new patients
Kershaw Anesthesia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Musc Community Physicians CurrentSince Nov 10, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2016 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Dekalb Anesthesia Associates, LLC Past Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

1343 Canton Rd
Ste C
Marietta, GA 30066

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1902821804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 CANTON RD",
            "address_2": "STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666079",
            "telephone_number": "866-214-8600",
            "fax_number": "678-888-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "866-214-8600",
            "fax_number": "678-888-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ROY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "ANP19663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009954880",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "051502638",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.

Verify at the official NPI Registry.