Active NPI
Harrison G. Sims III, M.D.
- Family Medicine Physician
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 037149
- Practice address
- 2620 Westside Dr NW
Cleveland, TN 37312-3605 - Phone
- (423) 339-1760
- Fax
- (423) 559-1483
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 037149 | TN | Primary |
Addresses
Primary practice location
2620 Westside Dr NW
Cleveland, TN 37312-3605
Mailing address
2620 Westside Dr NW
Cleveland, TN 37312-3605
Phone (423) 339-1760
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3880829 | Other | TN | MEDICARE - INDIVIDUAL |
| 1584772 | Other | TN | GHI |
| 3880829 | Other | TN | MEDICAID - INDIVIDUAL |
| G62659 | Other | TN | MEDICARE UPIN |
| 3719860 | Other | TN | MEDICARE - GROUP |
| 3880829 | Medicaid | TN | |
| G62659 | Other | TN | HEALTHSPRING |
| 392704 | Other | GA | BCBS GA - INDIVIDUAL |
| 4052544 | Other | TN | BCBS TN - INDIVIDUAL |
| TN0102 | Other | TN | UHC RIVER VALLEY / JDHC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1420 Fritz St SE
Cleveland, TN 37323-6009
Phone (423) 380-6383
Hospital & facility affiliations
- Amedisys Home Health Chattanooga
- Affiliate of Vitruvian Health
- Memorial Healthcare System, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037149 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Physician Services, LLC | Family Medicine | Current | Accepting new patients |
| James M Croft MD PA | Past | Accepting new patients |
Locations
1420 Fritz St SE
Cleveland, TN 37323
Phone (423) 380-6383
2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711
2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100
Interoperability endpoints
- harrison.sims.1@31613.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- Cleveland, TN
- NPI 1710727540
Family Medicine
-
- Specialist
- Morganton, NC
- NPI 1225181530
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1568413219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 WESTSIDE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123605",
"telephone_number": "423-339-1760",
"fax_number": "423-559-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 WESTSIDE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123605",
"telephone_number": "423-339-1760",
"fax_number": "423-559-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "HARRISON",
"middle_name": "G.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "037149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - INDIVIDUAL",
"identifier": "3880829",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1584772",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - INDIVIDUAL",
"identifier": "3880829",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "G62659",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - GROUP",
"identifier": "3719860",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3880829",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "G62659",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GA - INDIVIDUAL",
"identifier": "392704",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN - INDIVIDUAL",
"identifier": "4052544",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC RIVER VALLEY / JDHC",
"identifier": "TN0102",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.