JEFFREY L. HARRIS MD PC NPI 1285696112

NPI Information

NPI: 1285696112
Provider Name: JEFFREY L. HARRIS, MD, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Doing Business As: WAYNE OBSTETRICS AND GYNECOLOGY
CLIA Number: 11D1014701
Address: 371 PEACHTREE ST
JESUP, GA
ZIP 31545
Phone: (912) 530-7301

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NPI Details

JEFFREY L. HARRIS, MD, PC is an obstetrics gynecology in Jesup, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JEFFREY L. HARRIS, MD, PC NPI is 1285696112. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wayne Obstetrics And Gynecology.

The provider's business location address is:

371 PEACHTREE ST
JESUP, GA
ZIP 31545-245
Phone: (912) 530-7301
Fax: (912) 530-7302

The provider's authorized official is Antonia Brooke Harris .
The authorized official title is Executive Office Manager and has the following contact phone number (912) 530-7301.

The CLIA number assigned to this NPI record is 11D1014701 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/5/2006 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		024255	GEORGIA	No
2	207V00000X	Obstetrics & Gynecology		024255	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	301000006A	MEDICAID	GEORGIA
2	000815889C	MEDICAID	GEORGIA
3	G95055	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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