Individual provider Active NPI

Harrison G. Sims III, M.D.

  • Family Medicine Physician
  • Cleveland, TN
National Provider Identifier
1568413219
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
037149 Issued in TN
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

Updated by the provider on Jan 21, 2008

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 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

IdentifierTypeStateIssuer
3880829OtherTNMEDICARE - INDIVIDUAL
1584772OtherTNGHI
3880829OtherTNMEDICAID - INDIVIDUAL
G62659OtherTNMEDICARE UPIN
3719860OtherTNMEDICARE - GROUP
3880829MedicaidTN
G62659OtherTNHEALTHSPRING
392704OtherGABCBS GA - INDIVIDUAL
4052544OtherTNBCBS TN - INDIVIDUAL
TN0102OtherTNUHC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000391 TN Practitioner - Family Practice 6002008075 Reassigns benefits to 1 organization

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
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

1420 Fritz St SE
Cleveland, TN 37323-6009
Phone (423) 380-6383

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037149TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC Family Medicine CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.