John B Harris, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME54419 Issued in FL

Practice address

151 Sawgrass Corners Dr Ste 102
Ponte Vedra Beach, FL 32082-3554

Phone

(904) 274-1834

Fax

(904) 373-5840

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Plastic and Reconstructive Surgery

Education

Southern Illinois University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• John B Harris MD PA

  • Plastic Surgery Physician
  • Ponte Vedra Beach, FL
  • NPI 1679596985

  Specialist

  Medicare reassignment NPD Authorized official
• Ponte Vedra Beach Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1093077257
  NPD Authorized official
• Memorial Family Practice Associates

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1477613172
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1609899178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SAN JUAN DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822822",
            "telephone_number": "904-285-8838",
            "fax_number": "904-285-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823554",
            "telephone_number": "904-274-1834",
            "fax_number": "904-373-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME54419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Huggins Hamilton, MS CCC-SLP
• Deborah D. Hanna, LCSW
• James E Hardy III, M.D.
• Maureen Travers Harper, LMHC
• Harris Teeter, Inc.
• Theresa Lyon Harris, APRN
• Deborah Dee Hartley, LMT
• David Meriwether Harvey, PHD
• Sara Elizabeth Haugen, FNP-BC
• Brittany Hawkins

• Plastic and Reconstructive Surgery Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.