Dustin R Harrison (NPI# 1043623929, PAC ID# 9436469509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1043623929 |
| PAC ID by PECOS | 9436469509 |
| Professional Enrollment ID | I20191120003258 |
| Full Name | Dustin R Harrison |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Address |
7540 Cipriano Ct Suite B Fairhope AL 36532-3029 |
| Phone Number | 2515173175 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3779822119 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 | 2515173175 | REFRESH CANOPY COVE, INC |
| 1110 Montlimar Dr, Suite 500, Mobile, AL 36609-1794 | 2516629466 | REFRESH CANOPY COVE, INC |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Jane Davidson | Psychiatry | Refresh Canopy Cove, Inc | 5251 Emerson St, Comprehensive Medpsych, Jacksonville, FL 32207-4932 |
| Michael H Leblond | Psychologist, Clinical | Refresh Canopy Cove, Inc | 6320 Venture Dr, Suite 203, Lakewood Ranch, FL 34202-5132 |
| Justin M Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 1300 Marsh Landing Pkwy, Suite 112, Jacksonville Beach, FL 32250-2407 |
| Karola Thurman | Clinical Social Worker | Refresh Canopy Cove, Inc | 1100 S Ponce De Leon Blvd, 1 Comprehensive Medpsych Systems, St Augustine, FL 32084-6013 |
| Judi Mcinerney | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Angela Gibson | Clinical Social Worker | Refresh Canopy Cove, Inc | 1090 S Tamiami Trl, Sarasota, FL 34236-9116 |
| Dale G Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 871 Venetia Bay Blvd, Suite 310, Venice, FL 34285-8054 |
| Christine Holmes | Clinical Social Worker | Refresh Canopy Cove, Inc | 1110 Montlimar Dr, Suite 500, Mobile, AL 36609-1794 |
| Jacqueline D Boutrouille | Psychiatry | Refresh Canopy Cove, Inc | 7880 N University Dr, 303 Comprehensive Medpsych Systems, Tamarac, FL 33321-2124 |
| John H Draeger | Psychiatry | Refresh Canopy Cove, Inc | 10225 Ulmerton Rd, Suite 8b, Largo, FL 33771-3522 |
| Street Address |
7540 CIPRIANO CT SUITE B |
| City | FAIRHOPE |
| State | AL |
| Zip | 36532-3029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elisa Kessler | Clinical Social Worker | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Stephanie M Garrard | Clinical Social Worker | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Benjamin Hill | Psychologist, Clinical | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Bayani Abordo | Psychiatry | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Townsend Corte | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Lea T Collins | Nurse Practitioner | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Regan M Andrade | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Allan David Mills | Psychiatry | 761 B Middle St, Fairhope, AL 36532-1715 | |
| Sarah Gonzalez | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| John J Broderick Cantwell | Psychiatry | 770 Middle St, Fairhope, AL 36532-1766 | |
| Frances T Fuller | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Stephen E Winston | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Craig M Dowden | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Karen Lynne Adams | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Find all physicians in zip 36532 | |||
| City | FAIRHOPE |
| Zip Code | 36532 |
| Specialty | PSYCHIATRY |
| City + Specialty | FAIRHOPE + PSYCHIATRY |
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| 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.