MARY KELLY HARBIN NP-C
NPI 1083874119
Nurse Practitioner in Rome, GA
About Mary Kelly Harbin Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KELLY HARBIN NP-C (NPI 1083874119) is an individual nurse practitioner in Rome, Georgia, licensed in Georgia (RN155084) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Redmond Regional Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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
Mary Kelly Harbin Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Harbin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, GA 30161
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Redmond Regional Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Harbin's NPI number?
The NPI number for Mary Harbin is 1083874119. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Mary Kelly Carter.
Where is Mary Harbin located?
Mary Harbin practices at 1825 Martha Berry Blvd NW, Rome, GA 30165. The listed phone number is (706) 238-8012.
What is Mary Harbin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Harbin enrolled in Medicare?
Yes. Mary Harbin 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 organization bills Medicare for Mary Harbin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Harbin reassigns Medicare benefits to Clocktower Medical Group, LLC (Rome, GA). The 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 Mary Harbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Harbin accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mary Harbin 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 Mary Harbin affiliated with any hospitals?
According to CMS data, Mary Harbin is affiliated with Redmond Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Harbin was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary Kelly Harbin, NP-C · NPI 1083874119
Nurse Practitioner physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since June 12, 2008.
## Identity
- **NPI:** 1083874119 (Entity type: Individual)
- **Enumerated:** June 12, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN155084 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 MARTHA BERRY BLVD NW, Rome, GA 30165-1625
- **Phone:** (706) 238-8012 · **Fax:** (706) 238-8013
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clocktower Medical Group, LLC (NPI 1427895200, Rome, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 20, 2019
- **Other identifiers:** Medicaid 003105007A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083874119) · Data from the CMS NPPES public registry.