Individual provider Active NPI

Wallace Taylor Harris, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Asheville, NC
National Provider Identifier
1083092167
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2022-02432 Issued in NC
Practice address
75B Livingston St
Asheville, NC 28801-4353
Phone
(828) 258-8800
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.39351 AL
Orthopaedic Surgery Physician 207X00000X 036154470 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.39351 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036154470 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2022-02432 NC Primary

Addresses

Primary practice location

75B Livingston St
Asheville, NC 28801-4353

Mailing address

75B Livingston St
Asheville, NC 28801-4353
Phone (828) 258-8800

Other practice location 1

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Other practice location 2

999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Phone (847) 437-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200904000600 AL Practitioner - Orthopedic Surgery 0749591949 Reassigns benefits to 1 organization
I20221004002401 NC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0749591949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

2585 Hendersonville Rd
Arden, NC 28704-9577
Phone (828) 258-8800

723 Baxter St
Athens, GA 30605-1109
Phone (706) 355-3035

75 A Livingston St
Asheville, NC 28801-4353
Phone (828) 258-8800

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

  • Carepartners Home Health Services Home health agency, Asheville, NC, CCN 347083
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Oct 10, 2022 Accepting new patients
Emergeortho PA Orthopaedic Surgery CurrentSince Oct 10, 2022 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

75B Livingston St
Asheville, NC 28801

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

9 Haywood Office Park
Ste 103
Waynesville, NC 28785

Interoperability endpoints

  • Direct secure messaging: wallace.harris.1@847.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1083092167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75B LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014353",
            "telephone_number": "828-258-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75B LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014353",
            "telephone_number": "828-258-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Saint Vincents Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051638",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 E Touhy Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600182748",
            "country_code": "US",
            "telephone_number": "847-437-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WALLACE",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.39351",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036154470",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.39351",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036154470",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "2022-02432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.