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PAUL L HARVEY MD
NPI 1053410357
Internal Medicine in Riverdale, GA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
483 UPPER RIVERDALE RD SW STE G, RIVERDALE, GA 30274(770) 996-9400(770) 991-2918 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul L Harvey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL L HARVEY MD (NPI 1053410357) is an individual internal medicine provider in Riverdale, Georgia, licensed in Georgia (036647) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1053410357
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL L HARVEYCredential: MD
Location Address483 UPPER RIVERDALE RD SW STE GRiverdale, GA 30274-2584
Mailing Address483 Upper Riverdale Rd Sw Ste GRiverdale, GA 30274-2584 · (770) 996-9400 · Fax (770) 991-2918
Phone(770) 996-9400
Fax(770) 991-2918
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1053410357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 036647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
483 UPPER RIVERDALE RD SW STE G, Riverdale, GA 30274
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Other Identifiers 1

Medicaid00897949AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul L Harvey Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981897634
PECOS Enrollment IDI20101026000820
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Paul Harvey reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medsouth Associates PC
Same address
Internal Medicine
483 UPPER RIVERDALE RD SW STE G
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Med South Associates PC
  • 3 clinicians in this Medicare group
NPI 1508057589 (770) 996-9400
Georgia Hospitalists Group, LLC
1.0 mi
Hospitalist
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
NPI 1033576376 (770) 991-8000
Southern Regional Physicians Management Group, LLC
1.0 mi
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
NPI 1043677271 (770) 991-8000
Morehouse Healthcare, Inc.
16 mi
Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
NPI 1801832324 (404) 752-1000
Covenant Medical Group LLC
32 mi
Pulmonary Disease
3605 SANDY PLAINS RD STE 240-235
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1194235853 (770) 990-8212
Medical Office Force
64 mi
Internal Medicine
2005 PRINCE AVENUE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
NPI 1508378613 (706) 208-9700
Cogent Healthcare Of Georgia PC
64 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
353 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
76 services51 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
71 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims43 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$1.03 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims1,292 services$0.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims828 services$29.71 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims426 services$20.29 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers24 claims874 services$7.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDSOUTH ASSOCIATES PC
Internal Medicine
483 UPPER RIVERDALE RD SW STE G
RIVERDALE, GA 30274
Clayton County (770) 996-9400
EIGHTY HEALTH AND WELLNESS LLC
Clinic/Center (Health Service)
483 UPPER RIVERDALE RD SW STE G
RIVERDALE, GA 30274
Clayton County (678) 200-4785
DR. RICHARD I WRIGHT MD
Internal Medicine
483 UPPER RIVERDALE RD SW STE G
RIVERDALE, GA 30274
Clayton County (770) 996-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Harvey's NPI number?

The NPI number for Paul Harvey is 1053410357. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Paul Harvey located?

Paul Harvey practices at 483 Upper Riverdale Rd SW Ste G, Riverdale, GA 30274. The listed phone number is (770) 996-9400.

What is Paul Harvey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Harvey enrolled in Medicare?

Yes. Paul Harvey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Harvey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Harvey reassigns Medicare benefits to 7 organizations: Medsouth Associates PC (Riverdale, GA), Georgia Hospitalists Group, LLC (Riverdale, GA), Southern Regional Physicians Management Group, LLC (Riverdale, GA), Morehouse Healthcare, Inc. (Atlanta, GA), Covenant Medical Group LLC (Marietta, GA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Harvey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Harvey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Paul Harvey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Harvey affiliated with any hospitals?

According to CMS data, Paul Harvey is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Paul Harvey was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.