Individual provider Active NPI

James Mark Harrison, M.D.

  • Otolaryngology Physician
  • Mobile, AL
National Provider Identifier
1326042987
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
23564 Issued in AL
Practice address
3701 Dauphin St
Mobile, AL 36608-1756
Phone
(251) 341-3368
Fax
(251) 341-3371
NPI assigned
Jun 10, 2005
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 23564 AL Primary

Addresses

Primary practice location

3701 Dauphin St
Mobile, AL 36608-1756

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 341-3368

Other identifiers 4

IdentifierTypeStateIssuer
7069510OtherALAETNA PIN
51516932OtherALBLUE CROSS AL PROVIDER #
G92689OtherALHEALTHSPRING PROVIDER #
51553927OtherALBLUE CROSS PROVIDER #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000225 AL Practitioner - Otolaryngology 9739389628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

126 Alabama Ave W
Thomasville, AL 36784-3100
Phone (334) 636-2529

1302 US Hwy 98
Daphne, AL 36526-4256
Phone (251) 410-9000

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

3701 Dauphin St
Mobile, AL 36608-1756
Phone (251) 473-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23564ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. CurrentSince Oct 1, 2003 Accepting new patients
Premier Health Management, Inc. Otolaryngology CurrentSince Oct 1, 2003 Accepting new patients

Locations

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1326042987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-341-3368",
            "fax_number": "251-341-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081756",
            "telephone_number": "251-341-3368",
            "fax_number": "251-341-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "23564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7069510",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AL PROVIDER #",
            "identifier": "51516932",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER #",
            "identifier": "G92689",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51553927",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.