KENNETH WAYNE HARRIS (MD) – Ph.D. Medical Genetics, NPI 1184698516
Ph.D. Medical Genetics
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH WAYNE HARRIS (MD)
2431 West Main St.
Suite 1102
Dothan, AL 36301
Phone: (334) 699-5780
Fax: (334) 699-5786
Type: Location
240 Pello Ln
Nevada City, CA 959598337
Phone: (901) 229-1609
Type: Location
300, South Nevada Avenue, Montrose, Montrose County, Colorado, 81401, United States
MONTROSE, CO 814014273
Phone: (970) 249-7751
Fax: (970) 249-5029
Type: Location
240 PELLO LN
NEVADA CITY, CA 959598337
Phone: (901) 229-1609
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130516000136 | I | Internal Medicine | AL | TBD |
| I20170817002029 | I | Internal Medicine | CO | TBD |
| I20200229000157 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 56 | $0 |
Insurance plans in this area (ZIP 36301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | CO | |
| - | OH | |
| Physician Assistant | CO | |
| Emergency Medicine | CO | |
| Nurse Practitioner | CO | |
| - | CA | |
| - | - | |
| General Surgery | CO |
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