Cory Lynn Harris, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005807 Issued in NC

Practice address

5720 1St Ave S
Birmingham, AL 35212-2522

Phone

(205) 380-9455

NPI assigned

Sep 13, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Health Center IncGroup PAC ID 9931106986, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cory.harris.1@12373.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
  • NPI 1043023997

  Corporate Officer

  CMS ownership
• Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
  • NPI 1730987280

  Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
  • NPI 1821234246
  Medicare reassignment Care Compare group NPD
• Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
  • NPI 1730987280
  NPD
• Spruce Pine Emergency Services PLLC

  • Emergency Medicine Physician
  • Spruce Pine, NC
  • NPI 1760740054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1053661413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LAKEVIEW CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352104437",
            "telephone_number": "256-239-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122522",
            "telephone_number": "205-380-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CORY",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric T Harris, M.D.
• Charles M Harris Jr., S-LPC
• Christian Robinson Harris, OTR/L
• Christina Harris, CRNA
• Corrine Harris
• Dan E Harris, CRNP
• Deborah Harris, M.A., LPC, LMFT
• Deboraha Willonette Harris, C.R.N.P
• Destanee Jabria Harris
• Edward Alan Harris Jr., MD

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.