Active NPI
Eugene Orville Harrison, M.D.
- Surgery Physician
- Decatur, GA
National Provider Identifier
1154319341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 011652
- Practice address
- 2665 N Decatur Rd
Ste 350
Decatur, GA 30033-6149 - Phone
- (404) 501-7081
- Fax
- (404) 419-1680
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 011652 | GA | Primary |
Addresses
Primary practice location
2665 N Decatur Rd
Ste 350
Decatur, GA 30033-6149
Mailing address
2665 N Decatur Rd
Ste 350
Decatur, GA 30033-6149
Phone (404) 501-7081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00068747C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011652 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates, LLC | Surgery | Past | Accepting new patients |
| Gwinnett Clinic LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Duluth, GA
- NPI 1629117650
-
- Surgery Physician
- Decatur, GA
- NPI 1356301493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154319341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "STE 350",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-501-7081",
"fax_number": "404-419-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "STE 350",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-501-7081",
"fax_number": "404-419-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "EUGENE",
"middle_name": "ORVILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "011652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00068747C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.