Gary B Harrelson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11448 Issued in AL

Practice address

1559 Professional Pkwy
Auburn, AL 36830-2858

Phone

(334) 826-1121

Fax

(334) 826-1149

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Community Hospital Inc

  • Internal Medicine Physician
  • Tallassee, AL
  • NPI 1295040376
  Medicare reassignment NPD
• Community Hospital Inc

  • Family Medicine Physician
  • Tuskegee, AL
  • NPI 1922135425
  NPD
• Community Hospital, Inc

  • Family Medicine Physician
  • Tallassee, AL
  • NPI 1114982360
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1831169994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-826-1121",
            "fax_number": "334-826-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-826-1121",
            "fax_number": "334-826-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "GARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51503715",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "510G700530",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Ray Harnden
• Harold H Wehby DMD PC
• Austin Scott Harper, DMD
• Erin Lee Harrell
• Harrelson Family Medicine PC
• Aimee Harris
• Brittney Nicole Harris, FNP
• Dorothea Brady Harris, CRNP
• Emma Grace Harris, M.ED, NCC, ALC
• Kenneth L. Harris, M.D.

• Family Medicine Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.

Verify at the official NPI Registry.