DR. TRAVIS WESLEY HARRIS (M.D.) – Family Medicine Physician, NPI 1245764257

DR. TRAVIS WESLEY HARRIS (M.D.) is a healthcare provider. based in Meridianville, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD2024-0764 (NM). The NPI Number for DR. TRAVIS WESLEY HARRIS (M.D.) is 1245764257

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS WESLEY HARRIS (M.D.)
NPI
1245764257
Phone
(706) 331-6435
Address
315 NORTHLAKE DR
Enumeration Date
17 April 2017
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Secondary Phone
92875545004933
Graduation Year
2017 (9 years ago)
PAC ID
9830420272
Group Practice PAC ID
2163332347
Professional Enrollment ID
I20260202003284
Address ID
AZ865050457GASTATE191X600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for DR. TRAVIS WESLEY HARRIS (M.D.)

  • 315, Northlake Drive, Meridianville, Madison County, Alabama, 35759, United States

    MERIDIANVILLE, AL 357592338

    Phone: (706) 331-6435

    Type: Mailing

  • 301, Governors Drive Southwest, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358015123

    Phone: (256) 551-4500

    Fax: (256) 551-4573

    Type: Location

  • PO BOX 26666

    PHS PROVIDER ENROLLMENT

    ALBUQUERQUE, NM 871256666

    Phone: (706) 331-6435

    Type: Mailing

  • 1100 CENTRAL AVE SE

    ALBUQUERQUE, NM 871064930

    Phone: (505) 724-6124

    Fax: (505) 724-6125

    Type: Location

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: 2026-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191016000229IFamily PracticeALTBD
I20260202003284IFamily PracticeAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35759)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163332347View full group profile
NameSpecialtyState
Clinical Social WorkerAZ
-AZ
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)AZ
G A S T R O E N T E R O L O G YAZ
P S Y C H I A T R YNM
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerAZ
Emergency MedicinePR
Critical Care (Intensivists)FL

Reviews

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Frequently asked questions

Is DR. TRAVIS WESLEY HARRIS (M.D.) listed with a National Provider Identifier?
Yes — DR. TRAVIS WESLEY HARRIS (M.D.) has NPI 1245764257 on file in the registry.
Is DR. TRAVIS WESLEY HARRIS (M.D.) still an active registrant?
DR. TRAVIS WESLEY HARRIS (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. TRAVIS WESLEY HARRIS (M.D.)?
DR. TRAVIS WESLEY HARRIS (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TRAVIS WESLEY HARRIS (M.D.) associated with Meridianville?
Public fields place DR. TRAVIS WESLEY HARRIS (M.D.) around Meridianville, Alabama. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. TRAVIS WESLEY HARRIS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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