Individual provider Active NPI

Glenn E Harnett, MD

  • General Practice Physician
  • Hoover, AL
National Provider Identifier
1982644407
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
31023 Issued in AL
Practice address
1680 Montgomery Hwy
Hoover, AL 35216-4906
Phone
(205) 979-0888
Fax
(205) 979-4110
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 052451 GA
Emergency Medicine Physician 207P00000X 27336 SC
General Practice Physician 208D00000X 31023 AL Primary

Addresses

Primary practice location

1680 Montgomery Hwy
Hoover, AL 35216-4906

Mailing address

2147 Riverchase Office Rd
Hoover, AL 35244-1836
Phone (205) 421-2122

Other identifiers 8

IdentifierTypeStateIssuer
801486406BMedicaidGA
10058667OtherGAAMERIGROUP
801486406AMedicaidGA
801486406DMedicaidGU
801486406FMedicaidSC
801486406HMedicaidGA
801486406EMedicaidGA
G52451MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48218TNMDPharmacist
052451GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Georgia Emergency Associates Emergency Medicine Past Accepting new patients
Carolina Emergency Associates Emergency Medicine Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Georgia Emergency Associates Immediate Care Center General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1982644407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 RIVERCHASE OFFICE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441836",
            "telephone_number": "205-421-2122",
            "fax_number": "205-982-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164906",
            "telephone_number": "205-979-0888",
            "fax_number": "205-979-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNETT",
        "first_name": "GLENN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "052451",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "27336",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "31023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10058667",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406D",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406F",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801486406E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.