Individual provider Active NPI

Alwyn Dalvester Harriott, M.D.

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1699938985
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
54772 Issued in TN
Practice address
3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone
(615) 769-2799
Fax
(615) 769-2798
NPI assigned
Jul 7, 2008
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036133520 IL
Surgery Physician 208600000X 4301084078 MI
Surgery Physician 208600000X 54772 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535

Mailing address

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100513000297 MI Practitioner - General Surgery 6002944931 Reassigns benefits to 3 organizations
I20161107002531 TN Practitioner - General Surgery 6002944931
I20251219000071 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6002944931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

305 N Mangoustine Ave
Suite 100
Sanford, FL 32771-1004
Phone (407) 323-7821

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036133520ILMDSurgery Physician
4301084078MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Medical Group LLC CurrentSince Nov 28, 2023 Accepting new patients
Florida Trauma Services, LLC Surgery CurrentSince Jan 1, 2026 Accepting new patients
Northwest Surgical Associates PC Surgery CurrentSince Oct 1, 2020 Accepting new patients
Critical Care Surgeons PLLC CurrentSince Oct 1, 2020 Accepting new patients
Henry Ford Semi Medical Group Surgery Past Accepting new patients
Hti Memorial Hospital Corporation Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

305 N Mangoustine Ave
Ste 100
Sanford, FL 32771
Phone (407) 323-7821

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

27209 Lahser Rd
Ste 128
Southfield, MI 48034
Phone (248) 353-0200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1699938985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIOTT",
        "first_name": "ALWYN",
        "middle_name": "DALVESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036133520",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301084078",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "54772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.