MR. JOHN ALTON HARRISON (NPI# 1609004779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609004779 |
| Entity Type | Individual |
| Full Name | MR. JOHN ALTON HARRISON |
| Credential | IDMT USAF |
| Practice Address |
104 Windermere Cir Perry GA 31069-4109 |
| Practice Telephone | 4783271893 |
| Mailing Telephone | 4783271893 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144625682 | John Harrison | General Practice | 4935 Robin Hood Dr, Ashland, KY 41101-6835 | 2014-10-27 |
| 1518395821 | John Harrison | Specialist | 1402 N Edgewater Dr, Port Clinton, OH 43452-2825 | 2013-10-23 |
| 1942637368 | John Harrison | Counselor | 3748 Floral Ave, Cincinnati, OH 45212-3945 | 2013-09-30 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| 1912024696 | John B Harrison | Dentist | 545 4th Ave S, St Petersburg, FL 33701-4408 | 2007-03-26 |
| 1801970058 | John Harrison | Dentist | 16374 Hotchkiss Valley Rd. East, Loudon, TN 37774-0938 | 2006-10-24 |
| 1366547960 | John Scott Harrison | Chiropractor | 4010 W 65th St Ste 120, Edina, MN 55435-1724 | 2006-09-14 |
| 1275540635 | John Bondurant Harrison | Dentist | 213 Green Cove Rd Se, Huntsville, AL 35803-3005 | 2006-08-01 |
| 1801827480 | John Whately Harrison | Psychiatry & Neurology | Dhhs Naihs Phs Kayenta Health Center, Hwy 160/163 Building Ka2010, Kayenta, AZ 86033 | 2006-07-05 |
| 1093706723 | John Martin Harrison | Anesthesiology | 19075 E Chenango Cir, Aurora, CO 80015-4946 | 2005-11-02 |
| Street Address |
104 WINDERMERE CIR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459942 | Summer Ann Felix | Military Health Care Provider | 4260 Nelson Hill Pl, Hahira, GA 31632-3264 | 2019-10-23 |
| 1811397243 | Kristy Luna | Military Health Care Provider | 2331 Downing Ave, Savannah, GA 31404-3953 | 2014-09-04 |
| 1952701641 | Alan Vega | Military Health Care Provider | 3715 N Valdosta Rd Apt 82, Valdosta, GA 31602 | 2014-08-29 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1306189576 | Rebecca Lynne Lozano | Military Health Care Provider | 620 Randolph Ave, Warner Robins, GA 31098-1162 | 2013-04-05 |
| 1205110368 | Brian Russell Balcolm | Military Health Care Provider | 4099 Forrest Run Cir, Valdosta, GA 31605-6538 | 2011-10-06 |
| 1689957862 | Monique Nicole Toth | Military Health Care Provider | 3748 Robin Ln, Valdosta, GA 31605-5102 | 2011-09-23 |
| 1316230527 | Tamara Alisha Ivy | Military Health Care Provider | 138 Washington Ave, Waynesboro, GA 30830-8421 | 2011-05-20 |
| 1114221439 | Stephanie Denise Sulewski | Military Health Care Provider | 1063 Uss Tennessee Ave, Avenue Ql 11, Kings Bay, GA 31547-2606 | 2010-12-29 |
| 1194033365 | Jessica Marie Barker | Military Health Care Provider | 317 Simms Rd, Carrollton, GA 30117-5611 | 2010-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.