NPIMap

Individual provider Active NPI

Gary Dean Harmon, M.D.

  • Surgery Physician
  • Montgomery, AL
National Provider Identifier
1245209303
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.39106 Issued in AL
Practice address
1801 Pine St Ste 101
Montgomery, AL 36106-1154
Phone
(334) 293-8138
Fax
(334) 293-8134
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00026491 WA
Colon & Rectal Surgery Physician 208C00000X MD00026491 WA
Surgery Physician 208600000X MD.39106 AL Primary

Addresses

Primary practice location

1801 Pine St Ste 101
Montgomery, AL 36106-1154

Mailing address

1722 Pine St Ste 203
Montgomery, AL 36106-1158
Phone (334) 293-8736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200408001468 AL Practitioner - General Surgery 5698937506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1801 Pine St
Suite 101
Montgomery, AL 36106-1154
Phone (334) 293-8922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue421
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Feb 29, 2020 Accepting new patients
Jackson Hospital and Clinic Inc. CurrentSince Feb 29, 2020 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 101
Montgomery, AL 36106
Phone (334) 293-8138

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

390 Founders Way
Forks, WA 98331
Phone (360) 374-6271

Interoperability endpoints

  • Direct secure messaging: gary.harmon.1@9186.direct.athenahealth.com
  • FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/

Organizations & group practices 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1245209303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 203",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061158",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PINE ST STE 101",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061154",
            "telephone_number": "334-293-8138",
            "fax_number": "334-293-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00026491",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "WA",
            "license": "MD00026491",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.39106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.