Active NPI
Wesley J. Harris, M.D., FACOG
- Specialist
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15150
- Practice address
- 16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664 - Phone
- (276) 628-4335
- NPI assigned
- May 8, 2006
- Last updated
- Dec 15, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 15150 | TN | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
249 Midway Medical Park
Bristol, TN 37620-1693
Phone (423) 968-3033
Other practice location 2
208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 989-4050
Other practice location 3
102 15th St NW Ste 301
Norton, VA 24273-1627
Phone (276) 439-1470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006215475 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wharris15598@balladhealth.medalliesdirect.net | Direct | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221130003641 | VA | Practitioner - Obstetrics/Gynecology | 8022043686 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15150 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
Interoperability endpoints
- wesleyharris@bgynobpc.allscriptsdirect.net
Organizations & group practices 1
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.
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1720037773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR STE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-628-4335"
}
],
"practiceLocations": [
{
"address_1": "249 Midway Medical Park",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376201693",
"country_code": "US",
"telephone_number": "423-968-3033",
"fax_number": "423-968-3789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207343",
"country_code": "US",
"telephone_number": "423-989-4050",
"fax_number": "423-990-3044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 15th St NW Ste 301",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731627",
"country_code": "US",
"telephone_number": "276-439-1470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "WESLEY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D., FACOG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "15150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006215475",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wharris15598@balladhealth.medalliesdirect.net",
"affiliation": "Y",
"endpointDescription": "Ballad Health Care Everywhere",
"affiliationName": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "249 Midway Medical Park",
"city": "Bristol",
"state": "TN",
"country_code": "US",
"postal_code": "376201693",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.