MEDICARE: DENNIS G HARRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD17057	TN
2	208VP0000X	Pain Medicine Physician	MD17057	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477590404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS G HARRIS MD

Provider Business Mailing Address
First Line	:	2815 W AJ HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-581-3939
Fax Number	:	423-587-8895

Provider Business Practice Location Address
First Line	:	2815 W AJ HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-581-3939
Fax Number	:	423-587-8895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	02/03/2026

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