Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124101704 Deactivated / Inactive NPI Male Practitioner

Dr. Otis R Harrison , MD

Internal Medicine • Mobile, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Otis Harrison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Otis Harrison, MD was a registered Internal Medicine practicing in Mobile, AL. Throughout an active medical career spanning 16 years, Dr. Harrison provided care at the practice location at 712 S WASHINGTON AVE until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

712 S Washington Ave

Mobile, AL 366031302

Telephone 2514609056
Fax 2514609047
Associated Practice Facility / Clinic
🏢 Walter K. Little, Jr. Dds Facility NPI 1164741831

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
266 Specialists

Practicing in Mobile, AL (1784 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 00019180

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Walter Little , DENTIST

Dentist - General Practice

NPI 1265521553

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active October 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2013

Registered at 712 S WASHINGTON AVE, MOBILE, AL 366031302 (Tel: 2514609056)

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Updated Business Mailing Address October 25, 2013

Registered at 712 S WASHINGTON AVE, MOBILE, AL 366031302 (Tel: 2514609056)

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Provider Name / Credentials Updated October 25, 2013

Recorded as OTIS HARRISON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2013

Internal Medicine (License #00019180 in AL)

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Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124101704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: October 25, 2013
Deactivation Date: January 28, 2022

Mailing Address

712 S Washington Ave

Mobile, AL 366031302

Phone: 2514609056

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.