Individual provider Active NPI

Benjamin Jeppeson Harris, MD

  • Obstetrics & Gynecology Physician
  • Blairsville, GA
National Provider Identifier
1104890573
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
58761 Issued in GA
Practice address
19 Doctors Way
Blairsville, GA 30512
Phone
(706) 835-2222
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 58761 GA Primary

Addresses

Primary practice location

19 Doctors Way
Blairsville, GA 30512

Mailing address

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 835-2222

Other practice location 1

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benjaminharris@uniongeneral.cernerdirect.com Direct

Organizations & group practices 5

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union General Affiliated Services, LLC 20 clinicians

Practice addresses (Care Compare)

19 Doctors Way
Blairsville, GA 30512-1117
Phone (706) 745-2111

Hospital & facility affiliations

  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000118 GA Practitioner - Obstetrics/Gynecology 8224029947 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58761GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union General Affiliated Services, LLC Obstetrics & Gynecology CurrentSince Apr 30, 2018 Accepting new patients
Union General Affiliated Services, LLC CurrentSince Apr 30, 2018 Accepting new patients
Union General Hospital Inc Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Union County Hospital Authority Past Accepting new patients

Locations

123 Weaver Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

19 Doctors Way
Blairsville, GA 30512
Phone (706) 439-6858

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

Interoperability endpoints

  • Direct secure messaging: benjaminharris@uniongeneral.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8bbd570d-db8f-4e0a-abe5-48b447c735fb/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1104890573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-835-2222",
            "fax_number": "706-835-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DOCTORS WAY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-835-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-745-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BENJAMIN",
        "middle_name": "JEPPESON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "58761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjaminharris@uniongeneral.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Doctors Way",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.