John J Harris MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04915 Issued in TN

Legal business name

JOHN J HARRIS MD PC

Practice address

5050 Poplar Ave
Suite 618
Memphis, TN 38157-0618

Phone

(901) 682-3035

Fax

(901) 682-3049

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Donna Carson

Title

Secretary

Phone

(901) 682-3035

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Dietrich, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, TN
  • NPI 1396149951
  Medicare reassignment NPD
• John J Harris, MD

  • Specialist
  • Memphis, TN
  • NPI 1992863864
  Medicare reassignment NPD
• Alexander Labrador, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bartlett, TN
  • NPI 1528516788
  Medicare reassignment NPD
• Alam Sharifi, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, TN
  • NPI 1669873774
  Medicare reassignment NPD
• Allyson Brooke Williams, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1407115579
  Medicare reassignment NPD
• David Armstrong, PH.D.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1326048703
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1396938239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE",
            "address_2": "SUITE 618",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570618",
            "telephone_number": "901-682-3035",
            "fax_number": "901-682-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE",
            "address_2": "SUITE 618",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570618",
            "telephone_number": "901-682-3035",
            "fax_number": "901-682-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J HARRIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "901-682-3035"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "004915",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "04915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2000129",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3383409",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PIN",
            "identifier": "262101820",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Joe, PHARMD
• Joe. C Harris,DDS,PC
• Joel M. Cook, DPM, PA
• Kiran Joglekar
• John D. Huffman, MD, PC
• John Q Yuan MD PC
• John T. Morris, III, MD, PC
• John W Fowler Jr. MD PLLC
• Elizabeth John
• Isaac John, MD

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.