Individual provider Active NPI

John Harvey, FNP-C

  • Family Nurse Practitioner
  • McComb, MS
National Provider Identifier
1982012548
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R865532 Issued in MS
Practice address
1015 Delaware Ave # C
McComb, MS 39648-3827
Phone
(601) 249-4777
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R865532 MS Primary

Addresses

Primary practice location

1015 Delaware Ave # C
McComb, MS 39648-3827

Mailing address

1015 Delaware Ave # C
McComb, MS 39648-3827
Phone (601) 249-4777

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141023001901 MS Practitioner - Nurse Practitioner 0244451821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statcare PLLC 9 clinicians

Practice addresses (Care Compare)

1015 Delaware Ave
Suite C
McComb, MS 39648-3827
Phone (601) 249-4777

Hospital & facility affiliations

  • St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
  • Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score
45.48 of 100Reported as individual
Quality
55.29
Improvement activities
0
Cost
77.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R865532MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare PLLC CurrentSince Aug 11, 2014 Accepting new patients

Locations

1017 Delaware Ave
McComb, MS 39648
Phone (601) 250-1122

1015 Delaware Ave
Ste C
McComb, MS 39648
Phone (601) 249-4777

Interoperability endpoints

  • Direct secure messaging: jharvey@sp-ms.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1982012548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DELAWARE AVE # C",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483827",
            "telephone_number": "601-249-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DELAWARE AVE # C",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483827",
            "telephone_number": "601-249-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JOHN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.