NPIMap

Individual provider Active NPI

Dennis Keith Harden, MD

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1982715538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21958 Issued in AL
Practice address
1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone
(334) 291-8303
Fax
(334) 291-8325
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21958 AL Primary

Addresses

Primary practice location

1810 Stadium Dr
Ste 240
Phenix City, AL 36867

Mailing address

1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303

Other identifiers 2

IdentifierTypeStateIssuer
08BBXHPOtherGAMEDICARE
009907915MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000429 AL Practitioner - Family Practice 3678766482 Reassigns benefits to 1 organization
I20101028001168 GA Practitioner - Family Practice 3678766482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, shared by 2 NPIs, 157 clinicians

Practice addresses (Care Compare)

1800 10TH Ave
Columbus, GA 31901-1529
Phone (706) 571-1120

1810 Stadium Dr
Suite 240
Phenix City, AL 36867-3179
Phone (334) 291-8303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21958ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
James F Zumstein MD LLC Family Medicine Past Accepting new patients
The Medical Center Inc Past Accepting new patients
Affabilis LLC Past Accepting new patients

Locations

1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1800 10th Ave
Ste A
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982715538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR",
            "address_2": "STE 240",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36867",
            "telephone_number": "334-291-8303",
            "fax_number": "334-291-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR",
            "address_2": "STE 240",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36867",
            "telephone_number": "334-291-8303",
            "fax_number": "334-291-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "08BBXHP",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009907915",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.