Individual provider Active NPI

Whitney Jane Harrison-Birmingham, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1053733741
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14056 Issued in GA
Practice address
890 W Elliot Rd
Ste 103
Gilbert, AZ 85233-5102
Phone
(480) 545-2787
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14056 GA Primary

Addresses

Primary practice location

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233-5102

Mailing address

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787

Other names 1

  • Whitney Jane Harrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240729000741 FL Practitioner - Physician Assistant 2860615929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6364
Phone (904) 903-5520

1400 E Bay Dr
Largo, FL 33771-1013
Phone (727) 586-0047

5402 Beaumont Ctr Blvd
Suite 105
Tampa, FL 33634-5202
Phone (813) 248-8149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5640AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Feb 14, 2023 Accepting new patients
American Current Care PA CurrentSince Feb 14, 2023 Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Bespoke Aesthetic Plastic Surgery PastSince Mar 1, 2023 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1053733741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON-BIRMINGHAM",
        "first_name": "WHITNEY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "14056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "HARRISON",
            "middle_name": "JANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.