Active NPI
Garnet R Harris, MD
- Family Medicine Physician
- Danville, IN
National Provider Identifier
1740283415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01029733
- Practice address
- 7 Manor Dr
Danville, IN 46122 - Phone
- (317) 718-0044
- Fax
- (317) 745-5219
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01029733 | IN | Primary |
Addresses
Primary practice location
7 Manor Dr
Danville, IN 46122
Mailing address
PO Box 390
Danville, IN 46122
Phone (317) 718-0044
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100083560 | Medicaid | IN | |
| 080114205 | Other | IN | MEDICARE RAILROAD |
| 10782527 | Other | IN | CAQH |
| 000000092260 | Other | IN | BLUE CROSS BLUE SHIELD |
| 4289645 | Other | IN | AETNA |
| M400029295 | Other | IN | MEDICARE |
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 |
|---|---|---|---|
| 01029733 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hendricks Regional Health Danville Internal Medicine
- Internal Medicine Physician
- Danville, IN
- NPI 1871065144
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1740283415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"city": "DANVILLE",
"state": "IN",
"postal_code": "46122",
"telephone_number": "317-718-0044",
"fax_number": "317-745-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MANOR DR",
"city": "DANVILLE",
"state": "IN",
"postal_code": "46122",
"telephone_number": "317-718-0044",
"fax_number": "317-745-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "GARNET",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01029733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100083560",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080114205",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10782527",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000092260",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4289645",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M400029295",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.