Individual provider Active NPI

Milton Dean Harris, M.D.

  • Cardiovascular Disease Physician
  • Winston Salem, NC
National Provider Identifier
1962469049
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20733 Issued in NC
Practice address
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 277-2000
Fax
(336) 277-2050
NPI assigned
May 1, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20733 NC Primary

Addresses

Primary practice location

186 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-2000

Other identifiers 12

IdentifierTypeStateIssuer
25038OtherNCMEDCOST
8939969MedicaidNC
207057OtherNCMPH PROVIDER NUMBER
060012388OtherNCMEDICARE RAILROAD
215893OtherNCMAMSI
2502153OtherNCUNITED HEALTH CARE
39969OtherNCBCNC
4098792OtherNCAETNA
144OtherNCPARTNERS MEDICARE
212257OtherNCFMC PROVIDER NUMBER
P00654535OtherNCRAILROAD MEDICARE
1441816003OtherNCCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mharris256540@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071128000770 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476642406 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20733NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Aug 17, 2019 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 1, 2008 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 25, 2017 Accepting new patients
Forsyth Memorial Hospital Inc Cardiovascular Disease CurrentSince Aug 11, 2015 Accepting new patients
Wake Forest Health Network LLC CurrentSince Jul 1, 2008 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 5, 2017 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 17, 2019 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 5, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Aug 11, 2015 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Roanoke Valley Health Services Inc Past Accepting new patients

Locations

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

7114 Village Medical Cir
Clemmons, NC 27012
Phone (336) 893-2440

100 Johnson Ridge Medical Park
Elkin, NC 28621
Phone (336) 245-2100

3515 W Market St
Ste 110
Greensboro, NC 27403
Phone (336) 660-5220

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1710 Kernersville Medical Pkwy
Ste 205
Kernersville, NC 27284
Phone (336) 983-4500

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

186 Kimel Park Dr
Ste 205
Winston Salem, NC 27103

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

2025 Frontis Plaza Blvd
Ste 100
Winston Salem, NC 27103
Phone (336) 718-6199

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3073 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 765-0960

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

725 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2620

Interoperability endpoints

  • Direct secure messaging: mharris256540@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1962469049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MILTON",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "20733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "25038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8939969",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPH PROVIDER NUMBER",
            "identifier": "207057",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060012388",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "215893",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2502153",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNC",
            "identifier": "39969",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4098792",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "144",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMC PROVIDER NUMBER",
            "identifier": "212257",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00654535",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1441816003",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mharris256540@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "186 Kimel Park Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.