Active NPI
Devall Harris, PT
- Sports Physical Therapist
- Smyrna, GA
National Provider Identifier
1396650602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT018359
- Practice address
- 1675 Cumberland Pkwy SE Ste 305
Smyrna, GA 30080-6360 - Phone
- (404) 785-8660
- NPI assigned
- Aug 19, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT018359 | GA | Primary |
Addresses
Primary practice location
1675 Cumberland Pkwy SE Ste 305
Smyrna, GA 30080-6360
Mailing address
204 Cityline Ave NE Apt 204
Atlanta, GA 30308-2484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottish Rite Children'S Medical Center | Past | Accepting new patients | |
| Scottish Rite Childrens Medical Ctr | Past | Accepting new patients |
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.
-
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
-
- Children's Hospital
- Atlanta, GA
- NPI 1922178789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1396650602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CITYLINE AVE NE APT 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 CUMBERLAND PKWY SE STE 305",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806360",
"telephone_number": "404-785-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DEVALL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "GA",
"license": "PT018359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.