Carl Wayne Harris Jr., DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

102817 Issued in GA

Practice address

485 Highway 29 N
Athens, GA 30601-5583

Phone

(706) 438-4080

Fax

(706) 438-4081

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, GA, TX3 enrollments

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 3

Specialty

Osteopathic Manipulative Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as group

Quality

71.56

Promoting interoperability

96

Improvement activities

40

Cost

76.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of Maine, LLC

  • Emergency Medicine Physician
  • Ellsworth, ME
  • NPI 1578032058
  Medicare reassignment NPD
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment NPD
• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  NPD
• Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
  • NPI 1013355254
  NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• US Dept of HHS

  • Clinic/Center
  • Lame Deer, MT
  • NPI 1053487991
  NPD
• Lightstar Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Shawnee, OK
  • NPI 1396736872
  NPD (past)
• Seminole Health Center LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Seminole, OK
  • NPI 1144278920
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1326000548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 STATE RD",
            "city": "CASTLE HILL",
            "state": "ME",
            "postal_code": "047575103",
            "telephone_number": "207-768-8333",
            "fax_number": "207-768-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HIGHWAY 29 N",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306015583",
            "telephone_number": "706-438-4080",
            "fax_number": "706-438-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Academy St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047693102",
            "country_code": "US",
            "telephone_number": "207-768-4100",
            "fax_number": "207-768-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO1852",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "102817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Harrelson, NP
• Blake Alan Harrington, PHARMD
• Alexandra Allen Harris, M.S. CCC-SLP
• Alice G Harris, M.D.
• Alicia P Harris
• Destiny Harris
• Jessica Marie Harris, RD LD
• Michael Harris, DPT
• Nacoya Shuntiedra Harris
• Meredith Marchelle Harrison-Spears, D.C.

• Emergency Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.

Verify at the official NPI Registry.