David L Harrison, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15511 Issued in MS

Practice address

127 E Redstone Ave Ste C
Crestview, FL 32539-5356

Phone

(850) 423-0061

Fax

(850) 423-9954

NPI assigned

May 27, 2006

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

University of Mississippi School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crestview Hospital Company LLCGroup PAC ID 3678472313, 2 clinicians

North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058
• HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.harrison.1@1523.direct.athenahealth.com
• Direct secure messaging: david.harrison@direct.scrmc.com

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.

• Crestview Hospital Company LLC

  • Hospitalist Physician
  • Crestview, FL
  • NPI 1861441057

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• North Okaloosa Clinic Corp

  • Internal Medicine Physician
  • Crestview, FL
  • NPI 1659329852
  Medicare reassignment Care Compare group NPD
• South Central Clinics, Inc

  dba Ellisville Medical Clinic

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment NPD
• South Central Regional Medical Center

  dba South Central Regional Medical Center-Cardiology

  • Internal Medicine Physician
  • Laurel, MS
  • NPI 1700934676
  Medicare reassignment NPD
• Crestview Hospital Company, LLC

  dba North Okaloosa Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Crestview, FL
  • NPI 1457864357
  NPD
• North Okaloosa Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Crestview, FL
  • NPI 1477738896
  NPD
• South Central Clinics, Inc

  dba South Central Urgent Care

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1033903547
  NPD
• South Central Regional Medical Center

  dba South Central Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Laurel, MS
  • NPI 1083657381
  NPD
• Crestview Hospital Corporation

  dba Gateway Medical Clinic - Defuniak Springs

  • Rural Health Clinic/Center
  • Defuniak Springs, FL
  • NPI 1770550964
  NPD (past)
• Field Memorial Community Hospital

  dba Centreville Clinic

  • Rural Health Clinic/Center
  • Centreville, MS
  • NPI 1134166812

  Internal Medicine

  NPD (past)
• Field Memorial Community Hospital

  dba Field Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Centreville, MS
  • NPI 1447217526
  NPD (past)
• Field Memorial Community Hospital

  dba Catchings Clinic

  • Rural Health Clinic/Center
  • Woodville, MS
  • NPI 1881648376

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Shalimar, FL
  • NPI 1518991215
  Care Compare affiliation Name & address match
• Crestview Hospital Company, LLC

  dba North Okaloosa Medical Center

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation
• Okaloosa Hospital Inc

  dba HCA Florida Twin Cities Hospital

  • General Acute Care Hospital
  • Niceville, FL
  • NPI 1891732988
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1497702302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE STE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395356",
            "telephone_number": "850-423-0061",
            "fax_number": "850-423-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE STE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395356",
            "telephone_number": "850-423-0061",
            "fax_number": "850-423-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534811",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118971",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aarika Harris, RBT
• Austin Harris
• Jessica Rose Harris, MSW
• Steven Harris
• Amber Joy Harrison, COTA/L
• Richele Harrison
• Regina Gilmore Haskin, NP
• Renee Echo Hatcher, CTRS
• Raed Abdula Hattab, MD
• Patricia Haun, RDH

• Internal Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.