Troy A Harris, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001252 Issued in GA

Practice address

1560 Lancaster Ter Apt 206
Jacksonville, FL 32204-4116

Phone

(904) 707-8769

NPI assigned

Jul 22, 2011

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

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.

• Dr. Troy Harris, LLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1821781022

  Single Specialty

  NPD Authorized official
• Podiatrist on Call, LLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1295264224
  Authorized official Same address or phone
• Total Foot Care and Wellness Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1578938684

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1699053819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 LANCASTER TER APT 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044116",
            "telephone_number": "904-707-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 LANCASTER TER APT 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044116",
            "telephone_number": "904-707-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Park St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322057645",
            "country_code": "US",
            "telephone_number": "904-707-8769",
            "fax_number": "904-862-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TROY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Hernandez Harris
• Stacy L. Harris, CRNA
• Steven Derek Harris, CAA
• Tashenna Harris, ARNP
• Teresa L. Harris, SLP
• Twana Harris, CD/PCD(DONA)
• Harris, Wilcox & Donovan PA (Clay Eye Physicians & Surgeons)
• William Harris
• Alexis Harrison
• Antonio Harrison

• Foot & Ankle Surgery Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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; Opt Out Affidavits.
• 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.