Raymond Harrison, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

050634 Issued in GA

Practice address

1480 S Highway 27
Carrollton, GA 30117-8901

Phone

(770) 836-9445

Fax

(770) 836-8808

NPI assigned

Apr 26, 2006

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

George Washington University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TMC Immediate Care, Inc

  dba Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  Medicare reassignment Care Compare group NPD
• Carrollton Emergency Physicians, PC

  • Emergency Medicine Physician
  • Carrollton, GA
  • NPI 1790724672
  Medicare reassignment NPD
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1013338193
  Medicare reassignment NPD
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1467873547
  NPD
• Georgian Metropolis Emergency Physicians LLC

  • Emergency Medicine Physician
  • Macon, GA
  • NPI 1861645483
  NPD (past)
• Swift Emergency Physicians LLC

  • Emergency Medicine Physician
  • Macon, GA
  • NPI 1144467242
  NPD (past)
• Coastal Carolina Medical Center, Inc

  dba Coastal Medical Associates

  • Rural Health Clinic/Center
  • Ridgeland, SC
  • NPI 1124307509
  NPD (past)
• Hilton Head Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Hilton Head Island, SC
  • NPI 1326047176
  NPD (past)
• Mid-Ohio Emergency Services, LLC

  dba Moes

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1386691780
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1689631582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 220",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178901",
            "telephone_number": "770-836-9445",
            "fax_number": "770-836-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "050634",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "050634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750276254B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Harris
• Manina Harris
• Mary Harris, RNFA
• Stacey Harris
• John H Harrison, MD
• Sheila Harrison, LPC
• William Cory Harrison, NP-C
• David P. Hartley, M.D.
• Jill Marie Hastings-Storer, PH.D.
• Anita D. Haugabrook, MD

• Emergency Medicine Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.