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DR. GLEN H HAVENS MD PC
NPI 1871623819
Psychiatry & Neurology - Psychiatry in Roswell, GA

Active since March 07, 2007Opted out of Medicare · through Oct 9, 2027
11113 HOUZE RD, SUITE 100, ROSWELL, GA 30076(770) 998-1516(770) 998-1711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Glen H Havens Md Pc NPPES

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

DR. GLEN H HAVENS MD PC (NPI 1871623819) is an individual psychiatry provider in Roswell, Georgia, licensed in Georgia (32748) and active in the NPI registry since March 2007. He has opted out of Medicare through October 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871623819
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GLEN H HAVENSCredential: MD PC
Location Address11113 HOUZE RD, SUITE 100Roswell, GA 30076
Mailing Address11113 Houze Rd, Suite 100Roswell, GA 30076 · (770) 998-1516 · Fax (770) 998-1711
Phone(770) 998-1516
Fax(770) 998-1711
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871623819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 32748
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11113 HOUZE RD, Roswell, GA 30076
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Glen H Havens Md Pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2019 through October 9, 2027.

Opt-Out Effective DateOctober 9, 2019
Opt-Out In Effect ThroughOctober 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Glen Havens's NPI number?

The NPI number for Glen Havens is 1871623819. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Glen Havens located?

Glen Havens practices at 11113 Houze Rd Suite 100, Roswell, GA 30076. The listed phone number is (770) 998-1516.

What is Glen Havens's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Glen Havens enrolled in Medicare?

No. Glen Havens has opted out of Medicare through October 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Glen Havens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.