Kim Harbin, C.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-105407 Issued in AL

Practice address

2941 Point Mallard Pkwy SE
Decatur, AL 35603-5716

Phone

(256) 432-2822

Fax

(256) 432-2825

NPI assigned

Feb 12, 2007

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical East of Decatur IncGroup PAC ID 4688731409, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17006/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Falkville Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Falkville, AL
  • NPI 1518301837

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Medical East of Decatur Inc

  • Rural Health Clinic/Center
  • Decatur, AL
  • NPI 1659518553

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Medical East of Decatur Inc

  dba Somerville Family Medicine

  • Family Nurse Practitioner
  • Somerville, AL
  • NPI 1700238508

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Tanner Medical Clinic LLC

  • Rural Health Clinic/Center
  • Tanner, AL
  • NPI 1376881870

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Medical East of Decatur Inc

  • Rural Health Clinic/Center
  • Decatur, AL
  • NPI 1659518553

  Family

  Medicare reassignment Care Compare group NPD
• Medical East of Decatur Inc

  dba Somerville Family Medicine

  • Family Nurse Practitioner
  • Somerville, AL
  • NPI 1700238508
  NPD
• Falkville Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Falkville, AL
  • NPI 1518301837

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H H Health System-Morgan LLC

  dba Decatur Morgan Hospital-Decatur Campus

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation
• Hga Homecare, LLC

  dba Decatur Morgan HomeCare

  • Home Health Agency
  • Decatur, AL
  • NPI 1144409004
  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1902947880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035716",
            "telephone_number": "256-432-2822",
            "fax_number": "256-432-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035716",
            "telephone_number": "256-432-2822",
            "fax_number": "256-432-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "KIM",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Julie M Hankins, RN
• Michelle Hankins
• Deborah L Hanks, RPT
• Happi Health
• Stephen Wayne Harbin, MD
• Jasmine Harden, BS
• John Hardisty, M.S., PA-C
• Martha A Hardt, M.ED
• Hardy Enterprises Inc (Hardy Chiropractic)

• Family Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.