Active NPI
Steven D Harris, MD
- Specialist
- Dothan, AL
National Provider Identifier
1255393187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10735
- Practice address
- 102 Doctors Dr
Dothan, AL 36301-2911 - Phone
- (334) 793-4788
- Fax
- (334) 793-1561
- NPI assigned
- Apr 5, 2006
- Last updated
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10735 | AL | Primary |
Addresses
Primary practice location
102 Doctors Dr
Dothan, AL 36301-2911
Mailing address
102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-4788
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051031971 | Other | AL | BCBS PROVIDER NUMBER |
| 0000319791 | Medicaid | AL | |
| 174014500 | Other | AL | US DEPT OF LABOR |
| 040011243 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000024 | AL | Practitioner - Otolaryngology | 7719168343 | Practice locations: Dothan, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Mississippi School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2115 W Main St
Dothan, AL 36301-1289
Phone (334) 793-6556
Hospital & facility affiliations
- Centerwell Home Health
- Centerwell Home Health
- Southeast Health Medical Center
- Jackson Hospital
- Flowers Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10735 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard T Kennedy MD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dothan, AL
- NPI 1790059939
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Dothan, AL
- NPI 1467489385
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Centerwell Home Health
- Home Health Agency
- Enterprise, AL
- NPI 1174552939
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1255393187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 DOCTORS DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012911",
"telephone_number": "334-793-4788",
"fax_number": "334-793-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DOCTORS DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012911",
"telephone_number": "334-793-4788",
"fax_number": "334-793-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "10735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "051031971",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000319791",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "174014500",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040011243",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.