Individual provider Active NPI

Emerson E Harrison, MD

  • Urology Physician
  • Moultrie, GA
National Provider Identifier
1225130800
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
030316 Issued in GA
Practice address
16 Live Oak CT
Moultrie, GA 31768
Phone
(229) 891-9148
Fax
(229) 217-4910
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 030316 GA Primary

Addresses

Primary practice location

16 Live Oak CT
Moultrie, GA 31768

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 891-9148

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
I20110111000415 GA Practitioner - Urology 7911994207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Brody School of Medicine at East Carolina University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colquitt Regional Urology LLCGroup PAC ID 0840455192, 2 clinicians

Practice addresses (Care Compare)

16 Live Oak CT
Moultrie, GA 31768-6783
Phone (229) 785-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Nov 1, 2014 Accepting new patients
Colquitt Regional Pathology, LLC Current Accepting new patients
Colquitt Regional Urology, LLC Urology CurrentSince Oct 21, 2019 Accepting new patients
Georgia Urology PA Urology CurrentSince Aug 1, 2003 Accepting new patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

16 Live Oak Ct
Moultrie, GA 31768
Phone (229) 502-9730

115 31st Ave SE
Moultrie, GA 31768
Phone (229) 502-1020

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: emerson.harrison@gadirect.net

Organizations & group practices 7

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 3

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1225130800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9148",
            "fax_number": "229-890-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LIVE OAK CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "31768",
            "telephone_number": "229-891-9148",
            "fax_number": "229-217-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "EMERSON",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "030316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.