Harrelson Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11448 Issued in AL

Legal business name

HARRELSON FAMILY MEDICINE PC

Practice address

1559 Professional Pkwy
Auburn, AL 36830-2858

Phone

(334) 826-1121

Fax

(334) 826-1149

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Harrelson, M.D.

Title

Doctor

Phone

(334) 826-1121

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1619165693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-826-1121",
            "fax_number": "334-826-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-826-1121",
            "fax_number": "334-826-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELSON FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "334-826-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "051503715",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51503715",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Major Tyner Hargrove, DO
• Adam Ray Harnden
• Harold H Wehby DMD PC
• Austin Scott Harper, DMD
• Erin Lee Harrell
• Gary B Harrelson, M.D.
• Aimee Harris
• Brittney Nicole Harris, FNP
• Dorothea Brady Harris, CRNP
• Emma Grace Harris, M.ED, NCC, ALC

• Family Medicine Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.