MARK R HARVEY MD
NPI 1053421172
Internal Medicine in Sandersville, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D0686564 · Microscopy
30.95/100
CMS Quality Rating
203 MEDICAL ARTS PLACE, SUITE 3, SANDERSVILLE, GA 31082(478) 552-0967(478) 552-8541 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark R Harvey Md NPPES

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

MARK R HARVEY MD (NPI 1053421172) is an individual internal medicine provider in Sandersville, Georgia, licensed in Georgia (033984) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through March 9, 2028, and is affiliated with Au Medical Center.

NPPES Registry Identity

NPI1053421172
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK R HARVEYCredential: MD
Location Address203 MEDICAL ARTS PLACE, SUITE 3Sandersville, GA 31082
Mailing Address203 Medical Arts Place, Suite 3Sandersville, GA 31082 · (478) 552-0967 · Fax (478) 552-8541
Fax(478) 552-8541
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 8, 2010
NPI 1053421172 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 · 033984
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.

203 MEDICAL ARTS PLACE, Sandersville, GA 31082

Other Identifiers 3

Medicare UPINE78992
Medicaid00456079AGA
Medicare ID-Type Unspecified11BDDDCGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark R 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 ID8224154133
PECOS Enrollment IDI20100929000105
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0686564

Mark R Harvey MD PC · Sandersville, GA
Active · expires Mar 9, 2028
CLIA Number11D0686564
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorMark R. Harvey
Laboratory Phone(912) 552-0967
Laboratory LocationMark R Harvey MD PC203 Medical Arts Place Ste 3, Sandersville, GA 31082
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

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.

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.
714 services279 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
575 services272 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
321 services63 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
318 services203 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.
239 services149 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.
130 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Washington County Regional Medical Center

Acute Care Hospitals · Sandersville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110086
Location610 Sparta RoadSandersville, GA 31082 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31082 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost83.16

Referred Medical Equipment & Supplies CMS DME claims 11

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
5 suppliers53 claims87 services$6.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims22 services$1.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$108.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims33 services$42.75 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$22.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers24 claims104 services$2.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Harvey's NPI number?

The NPI number for Mark Harvey is 1053421172. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Harvey located?

Mark Harvey practices at 203 Medical Arts Place Suite 3, Sandersville, GA 31082. The listed phone number is (478) 552-0967.

What is Mark Harvey's specialty?

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

Is Mark Harvey enrolled in Medicare?

Yes. Mark 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.

Does Mark Harvey hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0686564) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mark Harvey affiliated with any hospitals?

According to CMS data, Mark Harvey is affiliated with Au Medical Center and Washington County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Harvey was last updated on March 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.