Active NPI
Tommy Ray Harris, MD
- Obstetrics & Gynecology Physician
- Rocky Mount, NC
National Provider Identifier
1982732087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38079
- Practice address
- 140 N Englewood Drive
Rocky Mount, NC 27804 - Phone
- (252) 937-6611
- Fax
- (252) 937-7388
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38079 | NC | Primary |
Addresses
Primary practice location
140 N Englewood Drive
Rocky Mount, NC 27804
Mailing address
140 N Englewood Drive
PO Box 7695
Rocky Mount, NC 27804
Phone (252) 937-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8939968 | Medicaid | NC | |
| 890135E | Other | NC | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982732087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N ENGLEWOOD DRIVE",
"address_2": "PO BOX 7695",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-937-6611",
"fax_number": "252-937-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N ENGLEWOOD DRIVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-937-6611",
"fax_number": "252-937-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TOMMY",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "38079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8939968",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "890135E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.