Individual provider Active NPI

Daniel Harrison, MD

  • Anesthesiology Physician
  • Covington, GA
National Provider Identifier
1487686036
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
033983 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(334) 386-2053
Fax
(334) 244-1830
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 033983 GA Primary

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

850 Skyline Dr
Covington, GA 30014-4886
Phone (678) 223-8483

Other identifiers 2

IdentifierTypeStateIssuer
810642548AMedicaidGA
P00125959OtherGARAILROAD MEDICARE PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070625000609 AL Practitioner - Anesthesiology 4385622430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Springhill LLCGroup PAC ID 2365830007, 47 clinicians

Practice addresses (Care Compare)

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033983GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lake Health Springhill, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Providence Hospital Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
USA Health Anesthesia Billing Services, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Providence Hospital Current Accepting new patients
Anesthesia & Pain Specialists of Bowling Green PLC Anesthesiology Past Accepting new patients

Locations

2637 Valleydale Rd
#200
Hoover, AL 35244

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

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 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1487686036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SKYLINE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300144886",
            "telephone_number": "678-223-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "334-386-2053",
            "fax_number": "334-244-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "033983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810642548A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "P00125959",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.