David Michael Harris, MD

Key facts

NPI

1619035169

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

031015 (GA)

Practice address

819 Church St
Royston, GA 30662-4434

Phone

(706) 245-6177

Fax

(706) 245-6242

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Royston Medical Associates PC Family Medicine Physician · Royston, GA · NPI 1245377662
  Medicare reassignment NPD Authorized official FAMILY MEDICINE · GA

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C. Home Health Agency · Lavonia, GA · NPI 1235187980
  Care Compare affiliation Home health agency
• Caresouth HHA Holdings of Gainesville, LLC Home Health Agency · Gainesville, GA · NPI 1235117581
  Care Compare affiliation Home health agency
• Caresouth HHA Holdings of Washington, LLC Home Health Agency · Hartwell, GA · NPI 1740268176
  Care Compare affiliation Home health agency
• Elbert Memorial Hospital Critical Access Hospital · Elberton, GA · NPI 1669488250
  Care Compare affiliation Hospital
• Franklin County Health & Rehabilitation, LLC Skilled Nursing Facility · Royston, GA · NPI 1881011492
  Care Compare affiliation Nursing home
• Piedmont Athens Regional Medical Center, Inc. General Acute Care Hospital · Athens, GA · NPI 1437186111
  Care Compare affiliation Hospital
• St. Mary'S Hospital, Inc. General Acute Care Hospital · Athens, GA · NPI 1871556621
  Care Compare affiliation Hospital
• St. Mary'S Sacred Heart Hospital, Inc. Rural Acute Care Hospital · Lavonia, GA · NPI 1518354778
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tugaloo Home Health Agency, an Amedisys Company Home health agency · Lavonia, GA · CCN 117036
• Enhabit Home Health Home health agency · Gainesville, GA · CCN 117021
• Enhabit Home Health Home health agency · Hartwell, GA · CCN 117069
• Piedmont Athens Regional Medical Center Hospital · Athens, GA · CCN 110074
• Ty Cobb Regional Medical Center, LLC Hospital · Lavonia, GA · CCN 110027
• St Mary'S Hospital Hospital · Athens, GA · CCN 110006
• Elbert Memorial Hospital Hospital · Elberton, GA · CCN 111337
• Brown Health and Rehabilitation Nursing home · Royston, GA · CCN 115090

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2011.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1619035169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 CHURCH ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624434",
            "telephone_number": "706-245-6177",
            "fax_number": "706-245-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 CHURCH ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624434",
            "telephone_number": "706-245-6177",
            "fax_number": "706-245-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00430064A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "040078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Royston, GA · Family Medicine Physician in Georgia