Individual provider Active NPI

Ralph Thomas Harrison

  • Clinical Social Worker
  • Waynesville, NC
National Provider Identifier
1598014193
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009021 Issued in NC
Practice address
669 S. Haywood St.
Waynesville, NC 28786
Phone
(828) 456-2997
Fax
(828) 456-2996
NPI assigned
Aug 29, 2012
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P007540 NC
Clinical Social Worker 1041C0700X C009021 NC Primary

Addresses

Primary practice location

669 S. Haywood St.
Waynesville, NC 28786

Mailing address

P.O.Box 728
Sylva, NC 28779
Phone (828) 586-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150212000564 NC Practitioner - Clinical Social Worker 7911222096 Reassigns benefits to 1 organization
I20240517003288 ME Practitioner - Clinical Social Worker 7911222096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

180 Main Rd
Brownville, ME 04414-3107
Phone (207) 528-2285

30 Houlton St
Patten, ME 04765-3035
Phone (207) 528-2285

33 Walker St
Ashland, ME 04732-3429
Phone (207) 528-2285

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 528-2285

59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P007540NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center Current Accepting new patients
Rha Health Services, Inc CurrentSince Dec 3, 2014 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince Dec 3, 2014 Accepting new patients
Katahdin Valley Health Center CurrentSince May 20, 2024 Accepting new patients
Katahdin Valley Health Center CurrentSince May 20, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

529 S Patten Rd
Patten, ME 04765

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Interoperability endpoints

  • Direct secure messaging: ralph.harrison.1@7377.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1598014193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 728",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "28779",
            "telephone_number": "828-586-6600",
            "fax_number": "828-586-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 S. HAYWOOD ST.",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-456-2997",
            "fax_number": "828-456-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "RALPH",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P007540",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.