P Praxis·MD
● Active Type 1 · Individual

DR. Charles Russell Harris JR., M.D.

Dermatology·Forsyth, GA· NPI 1073590410 · Enumerated 2005 · 20 years on NPI
Harris is 1 of 1 dermatology providers in Forsyth and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2005-12-28
Primary specialty
Dermatology
Plus 4 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
4
In the 33% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
101 Martin Luther King JR Dr
Forsyth, GA 310291698
📞 4789945281fax 4789949781
Mailing address
2400 Bellevue Rd, Suite 21-A
Dublin, GA 310212885
📞 4782757202fax 4782748418

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #019692 taxonomy 207N00000X
  • Dermatology
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    GA license #019692 taxonomy 207NS0135X
  • Dermatology
    A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
    GA license #019692 taxonomy 207NP0225X
  • Dermatology
    A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
    GA license #019692 taxonomy 207ND0900X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #019692 taxonomy 208D00000X

Identifiers

TypeValueNotes
05 (GA) 003136057

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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