Individual provider Active NPI

Matthew Earl Harris, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1922115492
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME119204 Issued in FL
Practice address
3599 University Blvd S
BLDG 300
Jacksonville, FL 32216
Phone
(904) 399-5550
Fax
(904) 346-4334
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 74246 GA
Diagnostic Radiology Physician 2085R0202X ME119204 FL Primary

Addresses

Primary practice location

3599 University Blvd S
BLDG 300
Jacksonville, FL 32216

Mailing address

3599 University Blvd S
BLDG 300
Jacksonville, FL 32216
Phone (904) 399-5550

Other practice location 1

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other practice location 2

4445 S Lee St Ste 100
Buford, GA 30518-8806
Phone (770) 848-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070504000233 HI Practitioner - Diagnostic RadiologyPractitioner - General Practice 2466558663 Reassigns benefits to 6 organizations
I20140909000971 FL Practitioner - Diagnostic Radiology 2466558663 Reassigns benefits to 2 organizations
I20181210002202 GA Practitioner - Diagnostic Radiology 2466558663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians
DLP Twin County Physician Practices LLCGroup PAC ID 7214199512, 119 clinicians
St Francis Physician Practices LLCGroup PAC ID 8729381033, 217 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1320 Kainui Dr
Kailua, HI 96734-1935
Phone (808) 223-4472

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438

4445 S Lee St
Suite 100
Buford, GA 30518-8806
Phone (770) 932-9559

567 A Kaneapu PL
Kailua, HI 96734-3132
Phone (904) 399-5550

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74246GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince May 15, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 14, 2014 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sentara Medical Group CurrentSince Dec 7, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 9, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Aug 19, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Jan 1, 2025 Accepting new patients
Northeast Georgia Medical Center, Inc. PastSince Aug 19, 2025 Accepting new patients

Locations

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

4445 S Lee St
Ste 100
Buford, GA 30518
Phone (770) 848-5200

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1900 Tebeau St
Ste C
Waycross, GA 31501

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1922115492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BLDG 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BLDG 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 S Lee St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305188806",
            "country_code": "US",
            "telephone_number": "770-848-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MATTHEW",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "74246",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME119204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.