Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Russell Harris Jr., MD

Individual provider Procedural Dermatology Physician · NPI 1073590410

Dr. Charles Russell Harris Jr., MD is a Dermatology in Forsyth, Georgia. Graduated from Vanderbilt University School of Medicine in 1975, 51 years ago. Practices with Georgia Dermatology and Skin Cancer Center, LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
51
Trained at
Vanderbilt University School of Medicine
Licensed in
GA
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

101 Martin Luther King Jr Dr
Forsyth, GA 31029-1698
Phone: (478) 994-5281
Fax: (478) 994-9781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 019692 (GA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 019692 (GA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 019692 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 019692 (GA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 019692 (GA)

Record details

NPI number1073590410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESApril 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Georgia Dermatology And Skin Cancer Center, Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare