Individual provider Active NPI

Cedric Leon Harris, MD

  • Internal Medicine Physician
  • Hueytown, AL
National Provider Identifier
1770644031
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21153 Issued in AL
Practice address
3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone
(205) 491-3299
Fax
(205) 744-8761
NPI assigned
Dec 12, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21153 AL Primary

Addresses

Primary practice location

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317

Mailing address

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone (205) 491-3299

Other practice location 1

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 397-8927

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harris.cedric@direct.uabmw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000676 AL Practitioner - Internal Medicine 1557335908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone (205) 491-3299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21153ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Aug 3, 2020 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients

Locations

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-9889

Interoperability endpoints

  • Direct secure messaging: harris.cedric@direct.uabmw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1770644031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-491-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-491-3299",
            "fax_number": "205-744-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111320",
            "country_code": "US",
            "telephone_number": "205-397-8927",
            "fax_number": "205-206-8369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CEDRIC",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harris.cedric@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "3004 Allison Bonnett Memorial Dr",
            "city": "Hueytown",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350232317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

Verify at the official NPI Registry.