Russell Harris, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

019692 Issued in GA

Legal business name

RUSSELL HARRIS, M.D., P.C.

Practice address

5669 Peachtree Dunwoody Rd NE
Suite 350
Atlanta, GA 30342-1786

Phone

(404) 851-9480

Fax

(404) 236-0075

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell Harris Jr., MD

Title

Physician/Owner

Phone

(404) 851-9480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Leigh Goldner, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1467439851
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1679663686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421786",
            "telephone_number": "404-851-9480",
            "fax_number": "404-236-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421786",
            "telephone_number": "404-851-9480",
            "fax_number": "404-236-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HARRIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "404-851-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "019692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "215714",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russ Counseling and Consulting LLC
• Amy Russ, M.S.
• Darryl Jerome Russ, LPC
• Taylor Russaw, RBT
• Russell E. Brooker, Ed.D., P.C.
• Aaron Russell, DC
• Beyunka Russell
• Brent Da Silva Russell, DC
• Bryan M Russell, PT
• Callan Russell, MS, CGC

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.