Frank Ryan Harris, MD
Individual provider Active NPI Family Medicine Physician · White House, TN
NPI 1891144572 · NPPES record last updated Nov 28, 2021
Key facts
- NPI
- 1891144572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 61916 (TN)
- Practice address
- 491 N Sage Rd
Suite 200
White House, TN 37188-3718 - Phone
- (615) 672-7122
- Fax
- (615) 581-5922
- NPI assigned
- Jun 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP438 | KY | MD | Emergency Medicine Physician |
| 52912 | KY | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP438 | KY | |
| Family Medicine Physician | 207Q00000X | 52912 | KY | |
| Family Medicine Physician | 207Q00000X | 61916 | TN | Yes |
Addresses
Primary practice location
491 N Sage Rd
Suite 200
White House, TN 37188-3718
Mailing address
491 N Sage Rd
White House, TN 37188-9360
Phone (615) 672-7122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100594810 | Medicaid | KY |
Other providers in White House, TN
- Jonathan D Griffin
- Angela Renee Groves
- Virginia Gursky
- Donna Allison Hall
- Benjamin Harbin
- Staci Nichelle Hawkins
- Daniel Wilson Headrick
- Hendersonville Hospital Corporation
- Stephanie Highsmith
- Kennedy Elise Hochstedler
All providers in White House, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.