Individual provider Active NPI

Gena L Harrison, MD

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1346532280
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099427 Issued in MI
Practice address
14001 Greenfield Rd
Detroit, MI 48227-2101
Phone
(313) 273-1200
Fax
(313) 273-8130
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301099427 MI Primary

Addresses

Primary practice location

14001 Greenfield Rd
Detroit, MI 48227-2101

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

15540 Beech Daly Rd
Redford, MI 48239-3804
Phone (313) 592-6330

Other practice location 2

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gharrison449093@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141024001391 MI Practitioner - Family Practice 7618198144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

14001 Greenfield Rd
Detroit, MI 48227-2101
Phone (313) 273-1200

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Feb 24, 2018 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 16, 2018 Accepting new patients
Independent Care Center PLLC CurrentSince Apr 24, 2024 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jan 16, 2018 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 12, 2018 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

14001 Greenfield Rd
Detroit, MI 48227
Phone (313) 273-1200

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

32754 Grand River Ave
Farmington Hls, MI 48336
Phone (248) 476-3280

15540 Beech Daly Rd
Redford, MI 48239
Phone (313) 387-5253

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

18161 W 13 Mile Rd
Ste C2
Southfield, MI 48076
Phone (248) 480-4183

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1346532280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272101",
            "telephone_number": "313-273-1200",
            "fax_number": "313-273-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15540 Beech Daly Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393804",
            "country_code": "US",
            "telephone_number": "313-592-6330",
            "fax_number": "313-592-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "fax_number": "248-471-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GENA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gharrison449093@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.