Farryn Jevanna Harrison, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN013220 Issued in GA

Practice address

1147 S Hairston Rd
Stone Mountain, GA 30088-2720

Phone

(404) 297-6635

NPI assigned

Jun 27, 2008

Last updated

May 18, 2010By the provider in NPPES

Sex

Female

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 GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1649432923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882720",
            "telephone_number": "404-297-6635",
            "fax_number": "813-289-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882720",
            "telephone_number": "404-297-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "FARRYN",
        "middle_name": "JEVANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN013220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Harp, C.A.M.S.
• Cierra Harris
• Jennifer Harris, RN
• Marina Leigh Harris, D.C.
• Rosiland Harris, DNP, ACNS-BC, APRN
• Telesa Hines Hart, DC
• Muhammad Shabbir Hashmi, M.D.
• Nuzhat P Hashmi, RPH
• Carla D Hawkins, LPC
• Gabriel James Hawkins, OT

• Oral and Maxillofacial Surgery (Dentist) in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.