KEITH R. HARRIS (M.D.) – Dermatology Physician, NPI 1922090224
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 KEITH R. HARRIS (M.D.)
103, John Maddox Drive, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651419
Phone: (706) 235-7711
Fax: (706) 235-9944
Type: Mailing
300, Marketplace Boulevard, Roving Hills Estates, Cartersville, Bartow County, Georgia, 30121, United States
CARTERSVILLE, GA 301218717
Phone: (470) 490-9600
Fax: (470) 447-1815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 297 Open Payments records for all available years, with a total value of $7,193.
Total Amount is formed as General ($7,193) + Research ($0) + Ownership ($0) = $7,193.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,076).
Total Amount
$7,193
General + Research + Ownership
Payments
297
Total payment records
General Amount
$7,193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,076 |
| Arcutis Biotherapeutics, Inc. | $807 |
| Dermavant Sciences, Inc. | $704 |
| E.R. Squibb & Sons, L.L.C. | $682 |
| Lilly USA, LLC | $383 |
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: 2004-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040414000360 | I | Dermatology | GA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,122 | 440 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,387 | 802 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 742 | 514 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 466 | 381 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 285 | 285 | $0 |
Insurance plans in this area (ZIP 30165)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| - | AL | |
| Nurse Practitioner | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Pathology, Dermatology | GA | |
| Nurse Practitioner | TN | |
| Physician Assistant | GA |
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