NPIMap

Individual provider Active NPI

Linda Wahl Harris, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1508878547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38687 Issued in TN
Practice address
9031 Cross Park Dr
Knoxville, TN 37923-4602
Phone
(865) 545-4592
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38687 TN Primary

Addresses

Primary practice location

9031 Cross Park Dr
Knoxville, TN 37923-4602

Mailing address

532 Gazebo Overlook
Seymour, TN 37865-4982
Phone (865) 579-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906001518 TX Practitioner - Family Practice 8123072014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardeman County Memorial HospGroup PAC ID 7113919580, 5 clinicians

Practice addresses (Care Compare)

402 Mercer St
Quanah, TX 79252-4026
Phone (940) 663-2795

404 Mercer St
Quanah, TX 79252-4026
Phone (940) 663-2795

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Medical PLLC CurrentSince Jun 28, 2023 Accepting new patients
Hardeman County Memorial Hosp CurrentSince Aug 1, 2018 Accepting new patients
Hardeman County Memorial Hosp Past Accepting new patients
Hardeman County Memorial Hosp Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

208 Prince St
Sevierville, TN 37862
Phone (865) 774-7481

402 Mercer St
Quanah, TX 79252
Phone (940) 663-2795

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 9

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508878547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GAZEBO OVERLOOK",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654982",
            "telephone_number": "865-579-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 CROSS PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234602",
            "telephone_number": "865-545-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "WAHL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.