Individual provider Active NPI

Harold Bruce Harrison, MD

  • Gastroenterology Physician
  • Macon, GA
National Provider Identifier
1285606517
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18027 Issued in GA
Practice address
610 3Rd St
Macon, GA 31201-3238
Phone
(478) 464-2600
Fax
(478) 738-9739
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18027 GA Primary

Addresses

Primary practice location

610 3Rd St
Macon, GA 31201-3238

Mailing address

610 3Rd St
Macon, GA 31201-3238
Phone (478) 464-2600

Other identifiers 2

IdentifierTypeStateIssuer
001233OtherGABCBS
000200835AMedicaidGA

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
I20260515003956 GA Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 7719883875

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Aug 1, 2021 Accepting new patients
Synergetic Healings LLC Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

380 Hospital Dr
Ste 370
Macon, GA 31217
Phone (478) 200-8152

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1285606517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013238",
            "telephone_number": "478-464-2600",
            "fax_number": "478-738-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013238",
            "telephone_number": "478-464-2600",
            "fax_number": "478-738-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HAROLD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "18027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001233",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000200835A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.