NPIMap

Individual provider Active NPI

Jason Douglas Harrah, M.D.

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1043297419
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32422 Issued in SC
Practice address
907 Startek Dr
Myrtle Beach, SC 29579-4471
Phone
(843) 646-8001
Fax
(843) 646-8802
NPI assigned
Dec 28, 2005
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 32422 SC Primary

Addresses

Primary practice location

907 Startek Dr
Myrtle Beach, SC 29579-4471

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7042

Other identifiers 1

IdentifierTypeStateIssuer
324223MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000297 SC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3173584430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
JC Edwards School of Medicine, Marshall University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2015 Accepting new patients
McLeod Physician Associates II Family Medicine Current Accepting new patients
Grand Strand Surgical Specialists, LLC CurrentSince Jul 31, 2010 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 5, 2016 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2015 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
Jason D Harrah MD Family Medicine PastSince Aug 1, 2002 Accepting new patients
Foley Clinic Corp Family Medicine Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778

101 McLeod Health Blvd
Ste 201
Myrtle Beach, SC 29579
Phone (843) 646-8001

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

907 Startek Dr
Myrtle Beach, SC 29579
Phone (843) 646-8001

Interoperability endpoints

  • Direct secure messaging: jharrah26171@directmcleodehealth.org

Organizations & group practices 10

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 10

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1043297419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7042",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 STARTEK DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794471",
            "telephone_number": "843-646-8001",
            "fax_number": "843-646-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAH",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.