Individual provider Active NPI

Anna Marie Harris, MD

  • Radiation Oncology Physician
  • Anniston, AL
National Provider Identifier
1780879551
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
068088 Issued in GA
Practice address
171 Town Center Dr
Anniston, AL 36205-4102
Phone
(256) 847-3369
NPI assigned
Sep 13, 2007
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TL002789 GA
Radiation Oncology Physician 2085R0001X MD.41723 AL
Radiation Oncology Physician 2085R0001X 068088 GA Primary

Addresses

Primary practice location

171 Town Center Dr
Anniston, AL 36205-4102

Mailing address

809 S Park St
Carrollton, GA 30117-4423
Phone (678) 801-8746

Other practice location 1

1608 Glenn Blvd SW
Fort Payne, AL 35968-3522
Phone (256) 845-3500

Other practice location 2

291 James Payton Blvd
Sylacauga, AL 35150-8047
Phone (256) 245-0297

Other practice location 3

809 S Park St
Carrollton, GA 30117-4423
Phone (678) 801-8746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120718000123 GA Practitioner - Radiation Oncology 2961668074 Reassigns benefits to 1 organization
I20210419001194 AL Practitioner - Radiation Oncology 2961668074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Mercer University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alabama Cancer Care, LLCGroup PAC ID 1456477645, 20 clinicians

Practice addresses (Care Compare)

291 James Payton Blvd
Sylacauga, AL 35150-8047
Phone (256) 245-0297

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL002789GAMDInternal Medicine Physician
MD.41723ALMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Internal Medicine CurrentSince Jul 2, 2012 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Jun 1, 2021 Accepting new patients
Southern Rad Onc LLC Radiation Oncology CurrentSince Jun 26, 2022 Accepting new patients
Southeast Physician Network, P.C. Past Accepting new patients

Locations

171 Town Center Dr
Ste 6
Anniston, AL 36205
Phone (256) 847-2431

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

291 James Payton Blvd
Sylacauga, AL 35150
Phone (256) 245-0297

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886

165 Clinic Ave
Carrollton, GA 30117
Phone (770) 836-9824

809 S Park St
Carrollton, GA 30117
Phone (678) 801-8746

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Interoperability endpoints

  • Direct secure messaging: aharris@tanner.direct.varian.com

Organizations & group practices 4

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1780879551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174423",
            "telephone_number": "678-801-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054102",
            "telephone_number": "256-847-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Glenn Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683522",
            "country_code": "US",
            "telephone_number": "256-845-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 James Payton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351508047",
            "country_code": "US",
            "telephone_number": "256-245-0297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 S Park St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174423",
            "country_code": "US",
            "telephone_number": "678-801-8746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "TL002789",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "MD.41723",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "068088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.