Gary Clayton Harrington, M.D.

Individual provider Active NPI Surgery Physician · Greenville, AL

NPI 1659453074 · NPPES record last updated Mar 16, 2016

Key facts

NPI
1659453074
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
E7655 (AR)
Practice address
300 N College St
Greenville, AL 36037-2025
Phone
(334) 382-2681
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7655ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LV Stabler Primary Care LLC Surgery Current
since Mar 24, 2018
Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrated Surgical Associates, PLLC Surgery Past
since May 27, 2005
Accepting new patients

Locations

300 N College St
Greenville, AL 36037
Phone (334) 382-2681

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E7655 AR Yes

Addresses

Primary practice location

300 N College St
Greenville, AL 36037-2025

Mailing address

300 N College St
Greenville, AL 36037-2025
Phone (334) 382-2681

Other identifiers

IdentifierTypeStateIssuer
1014600MedicaidMD
208292OtherVAHEALTH KEEPERS
3640878OtherMDAETNA
731696432OtherMDAMERIGROUP
826AGAOtherMDOPTIMA HEALTH
010367832OtherVAVIRGINIA PREMIER
826AOtherMDMARYLAND BC/BS
G01981G01OtherMDMARYLAND MEDICARE
458642OtherMDMAMSI
826AOtherMDCAREFIRST CAPTIAL CARE BC
718333OtherMDNCPPO/UNICARE
105656OtherMDANTHEM BC/BS
21849OtherMDCIGNA
66171OtherMDCARENET
731696432OtherMDNCPPO
0001OtherMDCAREFIRST BLUE CHOICE
448205OtherMDSOUTHERN HEALTH SERVICES
5396573OtherMDAETNA PPO
J740-001OtherMDCAREFIRST BC/BS
010367832MedicaidVA
036474600MedicaidDC
036747600MedicaidDC
105657OtherDCANTHEM BC/BC
208292OtherVABCBS OF VIRGINIA

Other providers in Greenville, AL

All providers in Greenville, AL · Surgery Physician in Alabama

Sources for this page

Verify at the official NPI Registry.