Emerson E Harrison (NPI# 1225130800, PAC ID# 7911994207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1225130800 |
| PAC ID by PECOS | 7911994207 |
| Professional Enrollment ID | I20110111000415 |
| Full Name | Emerson E Harrison |
| Organization Legal Name | COLQUITT REGIONAL UROLOGY LLC |
| Address |
4 Live Oak Ct Moultrie GA 31768-6783 |
| Phone Number | 2298919131 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0840455192 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110105 | COLQUITT REGIONAL MEDICAL CENTER |
| 110076 | DEKALB MEDICAL CENTER |
| 110161 | NORTHSIDE HOSPITAL |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| Address | Phone | Organization |
|---|---|---|
| 4450 Calibre Nwxing, Acworth, GA 30101-4103 | 7706071893 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| 1110 W Peachtree St Nw, Suite 1020, Atlanta, GA 30309-3609 | 4042220292 | GEORGIA UROLOGY, PA |
| 1110 W Peachtree St Nw, Suite 1020, Atlanta, GA 30309-3609 | UROLOGICAL PROFESSIONAL SERVICES, LLC | |
| 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 | 7707609900 | GEORGIA UROLOGY, PA |
| 2685 Milscott Dr, Decatur, GA 30033-5906 | 4042923727 | GEORGIA UROLOGY, PA |
| 2685 Milscott Dr, Decatur, GA 30033-5906 | UROLOGICAL PROFESSIONAL SERVICES, LLC | |
| 5900 Hillandale Dr, Suite 200, Lithonia, GA 30058-3858 | 7709812090 | GEORGIA UROLOGY, PA |
| 5900 Hillandale Dr, Suite 200, Lithonia, GA 30058-3858 | UROLOGICAL PROFESSIONAL SERVICES, LLC | |
| 4 Live Oak Ct, Moultrie, GA 31768-6783 | 2298919131 | COLQUITT REGIONAL UROLOGY LLC |
| 760 26th Ave Se, Moultrie, GA 31768-6799 | 2297852400 | COLQUITT REGIONAL UROLOGY LLC |
| 81 Upper Riverdale Swrd, Suite 200, Riverdale, GA 30274-2627 | 7709910020 | GEORGIA UROLOGY, PA |
| 115 N Park Trail, Suite 119, Stockbridge, GA 30281-7373 | 7703893739 | GEORGIA UROLOGY, PA |
| 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 | 6784949201 | GEORGIA UROLOGY, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COLQUITT REGIONAL UROLOGY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony B Davis Sr. | Physician Assistant | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Walter W Wilfong | Urology | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Street Address |
4 LIVE OAK CT |
| City | MOULTRIE |
| State | GA |
| Zip | 31768-6783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis Hughes | Nurse Practitioner | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Amber Joy Holt | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Amanda D Strickland | Nurse Practitioner | Colquitt Regional Gastroenterology, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Anthony B Davis Sr. | Physician Assistant | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Dexter Wayne Love | Orthopedic Surgery | Sterling Orthopedics LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Howard Laney Melton | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Mauricio Carballo | Gastroenterology | Colquitt Regional Gastroenterology, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Robert Brown | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Cheau Williams | Obstetrics/gynecology | Colquitt Regional Ob/gyn, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Stephanie Diers | Nurse Practitioner | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel B Wright | Nurse Practitioner | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
| Muhammad M Alam | Psychiatry | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
| Lauren K Rowe | Optometry | South Georgia Eye Partners PC | 115 5th St Se, Moultrie, GA 31768-4834 |
| Carl F Sircy Iii | Chiropractic | 714 S Main St, Moultrie, GA 31768-5433 | |
| Laurie Mcdaniel Scarrow | Qualified Audiologist | 27 8th Seave, Moultrie, GA 31768-5500 | |
| Benajah Pierce Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Elizabeth Olds Marston | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Samuel Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Ying Wang | Physician Assistant | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
| Laura F Mullis | Clinical Social Worker | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
| Find all physicians in zip 31768 | |||
| City | MOULTRIE |
| Zip Code | 31768 |
| Specialty | UROLOGY |
| City + Specialty | MOULTRIE + UROLOGY |
Please comment or provide details below to improve the information on Emerson E Harrison.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.