CHARLES RUSSELL HARRIS M.D.
NPI 1073590410
Dermatology, Procedural Dermatology in Dublin,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 28, 2005

Contact Information

2400 Bellevue Rd
Dublin,
Post Code: 31021
Phone: (478) 275-7202
Fax: (478) 274-8418

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Charles Russell Harris M.d. in Dublin - Dermatology, Procedural Dermatology

Charles Russell Harris M.d. is a Dermatology, Procedural Dermatology in Dublin, . Charles Russell Harris M.d. practices all healthcare services and medical treatments related to Dermatology, Procedural Dermatology. The NPI Number for Charles Russell Harris M.d. is 1073590410. The last update date is 2015-04-23.

Charles Russell Harris M.d.'s current location address is 2400 Bellevue Rd, Dublin, . You can contact this provider via phone number (478) 275-7202 and fax number (478) 274-8418. The mailing address for Charles Russell Harris M.d. is 2400 Bellevue Rd, Dublin, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1073590410
Provider Name
CHARLES RUSSELL HARRIS M.D.
Gender
Male
Entity Type
Individual
Location Address
2400 Bellevue Rd, Dublin,
Location Phone
(478) 275-7202
Location Fax
(478) 274-8418
Mailing Address
101 Martin Luther King Jr Dr, Forsyth, Georgia(GA)
Mailing Phone
478-994-5281
Mailing Fax
478-994-9781
Enumeration Date
2005-12-28
Last Update Date
2015-04-23
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
-
License No.
019692
License State
Georgia (GA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207NS0135X Procedural Dermatology Physician

Dermatology, Procedural Dermatology

019692 (Georgia)
2 207NP0225X Pediatric Dermatology Physician

Dermatology, Pediatric Dermatology

019692 (Georgia)
3 208D00000X General Practice Physician

General Practice

019692 (Georgia)
4 207ND0900X Dermatopathology Physician

Dermatology, Dermatopathology

019692 (Georgia)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003136057 MEDICAID (05) Georgia (GA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073590410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143109042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20143109042
2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 0 + 4 + 2 + 24 = 50
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1073590410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063415016 D HODARI BROOKS
Individual
Orthopaedic Surgery 1700 HOSPITAL SOUTH DR STE 502
AUSTELL, Georgia (GA)
943-202-7070
1063415081 FRANK ARTHUR BIXLER
Individual
- 15 YARBROUGH ST
HAZLEHURST, Georgia (GA)
912-375-0755
1043213176 MATTHEY T HARRIS
Individual
Internal Medicine, Endocrinology, Diabetes & Metabolism 1240 JESSE JEWELL PKWY SE
GAINESVILLE, Georgia (GA)
770-536-9864
1033112040 KEITH A. LAMBERSON
Individual
Orthopaedic Surgery, Sports Medicine 900 CIRCLE 75 PKWY SE
ATLANTA, Georgia (GA)
770-953-6929
1003819111 JAMES D JACKSON
Individual
Internal Medicine PO BOX 742616
ATLANTA, Georgia (GA)
770-219-8420