DR. DARRYL R HARRIS (NPI# 1649326935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649326935 |
| Entity Type | Individual |
| Full Name | DR. DARRYL R HARRIS |
| Credential | MD |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30045-7694 |
| Mailing Address |
4605 Guilford Forest Dr Sw Atlanta GA 30331 |
| Practice Telephone | 6783123317 |
| Mailing Telephone | 4046912440 |
| Mailing Fax Number | 4046911137 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 032920 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00429217D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644415 | Darryl C Harris Sr. | Pain Medicine | 2126 S La Brea Ave, Suite 104, Los Angeles, CA 90016-2277 | 2006-06-06 |
| 1033312756 | Darryl Harris | Counselor | 1382 S 3rd St, Louisville, KY 40208-2351 | 2007-06-08 |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841684446 | Young Jun Chai | Emergency Medicine | 173 August West Way, Lawrenceville, GA 30046 | 2015-03-23 |
| 1154681567 | Kenneth Onyekwere Ofoha | Emergency Medicine | 401 W Pike St, Suite A & B, Lawrenceville, GA 30046-4845 | 2012-05-18 |
| 1598082141 | Richard D. Mccormick | Emergency Medicine | 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046-8708 | 2010-04-22 |
| 1194953638 | Neha Verma | Emergency Medicine | 1031 Chase Creek Ct, Lawrenceville, GA 30044-7571 | 2009-06-23 |
| 1073608535 | Roy Gilbreath | Emergency Medicine | 1185 Rivershyre Pkwy, Lawrenceville, GA 30043-4435 | 2006-10-03 |
| 1629089545 | Ronnie Eugene Hendrix | Emergency Medicine | 4835 Sugarloaf Pkwy, Suite # 200, Lawrenceville, GA 30044-6912 | 2006-08-10 |
| 1114903135 | Vincent Joseph Leonti | Emergency Medicine | 134 Franklin Corner Rd Ste 101b, Lawrenceville, NJ 08648-2527 | 2005-12-21 |
| 1740752534 | Zenia 1 LLC | Emergency Medicine | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-18 |
| 1306370853 | Sean Kolowich | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-11 |
| 1588197339 | Michele Melamed | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-09 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.