Active NPI
Falls Lewis Harris, MD
- Dermatology Physician
- Greenville, SC
National Provider Identifier
1700824075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4893
- Practice address
- 28 Medical Ridge Dr
Greenville, SC 29605-4267 - Phone
- (864) 271-7440
- Fax
- (864) 271-6001
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4893 | SC | Primary |
Addresses
Primary practice location
28 Medical Ridge Dr
Greenville, SC 29605-4267
Mailing address
28 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 271-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048932 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4893 | SC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1700824075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MEDICAL RIDGE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054267",
"telephone_number": "864-271-7440",
"fax_number": "864-271-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MEDICAL RIDGE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054267",
"telephone_number": "864-271-7440",
"fax_number": "864-271-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "FALLS",
"middle_name": "LEWIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "4893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048932",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.