Individual provider Active NPI

William Dennis Harris, MD

  • Emergency Medicine Physician
  • Marianna, FL
National Provider Identifier
1437316411
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
110030 Issued in FL
Practice address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone
(850) 718-2644
Fax
(850) 718-2894
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN12160 FL
Emergency Medicine Physician 207P00000X 110030 FL Primary

Addresses

Primary practice location

4250 Hospital Dr
Marianna, FL 32446-1917

Mailing address

7126 Atascadero LN
Tallahassee, FL 32317-7460
Phone (423) 290-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220221001320 TN Practitioner - Family Practice 6305016379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9400 Rhea County Hwy
Dayton, TN 37321-7922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110030FLMDEmergency Medicine Physician
TRN12160FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhea Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Rhea Medical Center CurrentSince Jul 1, 2025 Accepting new patients

Locations

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

Organizations & group practices 3

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 1

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1437316411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 ATASCADERO LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177460",
            "telephone_number": "423-290-9772",
            "fax_number": "850-718-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-718-2644",
            "fax_number": "850-718-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIAM",
        "middle_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN12160",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "110030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.