Active NPI
Laurence Orin Franklin Harris, M.D.
- Internal Medicine Physician
- Gainesville, GA
National Provider Identifier
1447348222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40918
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 533-6645
- Fax
- (770) 535-2642
- NPI assigned
- Oct 10, 2006
- Last updated
- Nov 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40918 | GA | Primary |
| Hospitalist Physician | 208M00000X | 040918 | GA |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000691633K | Other | PEACH STATE | |
| 52778931 | Other | GA | BCBS |
| P00450143 | Other | GA | MEDICARE RAILROAD |
| 341523 | Other | GA | WELLCARE |
| 000691633K | Medicaid | GA | |
| 01071252 | Other | GA | AMERIGROUP |
| 5581447 | Other | GA | AETNA |
| 6638860 | Other | GA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40918 | GA | MD | Internal Medicine Physician |
| 49018 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Memorial Hospital | Current | Accepting new patients | |
| BJC Medical Emergency Physicians, LLC | Past | Accepting new patients | |
| Columbia Memorial Hospital | Past | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Past | Accepting new patients |
| Dekalb Medical Hospitalists LLC | Hospitalist | Past | Accepting new patients |
Locations
71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773
2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601
Interoperability endpoints
- lharris99127@albanymed.direct-ci.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Hudson, NY
- NPI 1083639587
-
- Emergency Medicine Physician
- Commerce, GA
- NPI 1104843895
-
- Hospitalist Physician
- Decatur, GA
- NPI 1811026891
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1447348222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-533-6645",
"fax_number": "770-535-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LAURENCE",
"middle_name": "ORIN FRANKLIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "40918",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "040918",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "000691633K",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52778931",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00450143",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "341523",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000691633K",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01071252",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5581447",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6638860",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.