DR. CHARLES RUSSELL JR. HARRIS (M.D.) – Dermatology Physician, NPI 1073590410
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for DR. CHARLES RUSSELL JR. HARRIS (M.D.)
2400, Bellevue Road, Dublin, Laurens County, Georgia, 31021, United States
SUITE 21-A
DUBLIN, GA 310212885
Phone: (478) 275-7202
Fax: (478) 274-8418
Type: Mailing
Martin Luther King Jr Drive, Forsyth, Monroe County, Georgia, 31029, United States
FORSYTH, GA 310291698
Phone: (478) 994-5281
Fax: (478) 994-9781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,051.
Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($299).
Total Amount
$1,051
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $299 |
| Lilly USA, LLC | $83 |
| Regeneron Healthcare Solutions, Inc. | $79 |
| UCB, Inc. | $50 |
| Incyte Corporation | $46 |
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: 2004-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20041119000307 | I | Dermatology | GA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,552 | 230 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 343 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 423 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 226 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 161 | 130 | $0 |
Insurance plans in this area (ZIP 31021)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 11101 | Biopsy of each additional growth of skin and/or tissue | 90 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| - | GA | |
| D E R M A T O L O G Y | SC | |
| Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | TX | |
| P A T H O L O G Y | GA | |
| Physician Assistant | GA |
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