Individual provider Active NPI

Ciel Harris, M.D.

  • Gastroenterology Physician
  • Jacksonville, FL
National Provider Identifier
1083097869
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
86509 Issued in GA
Practice address
655 W 8TH St
Jacksonville, FL 32209
Phone
(904) 244-3092
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X TRN21545 FL
Gastroenterology Physician 207RG0100X 86509 GA Primary

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209

Mailing address

3400 Parkwood Dr
Brunswick, GA 31520-4782
Phone (912) 466-5815

Other practice location 1

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250729002844 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 4284940065 Reassigns benefits to 1 organization
I20250925001740 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 4284940065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

101 E W T Harris Blvd
Charlotte, NC 28262-3485
Phone (704) 863-5401

1656 Riverchase Blvd
Rock Hill, SC 29732-2084
Phone (704) 667-0880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN21545FLMDGastroenterology Physician
86509GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Specialty Network Inc Gastroenterology CurrentSince Jul 1, 2025 Accepting new patients
Cooperative Healthcare Services Inc Gastroenterology CurrentSince Aug 23, 2021 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3400 Parkwood Dr
Brunswick, GA 31520
Phone (912) 267-7600

3217 4th St
Brunswick, GA 31520
Phone (912) 264-9650

2040 Dan Proctor Dr
Ste 240
Saint Marys, GA 31558
Phone (912) 576-6340

10650 Park Rd
Charlotte, NC 28210
Phone (704) 667-0337

101 E Wt Harris Blvd
Charlotte, NC 28262
Phone (704) 863-0640

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

1656 Riverchase Blvd
Rock Hill, SC 29732
Phone (704) 335-1813

Interoperability endpoints

  • Direct secure messaging: charr01@secure.sghsmessaging.org
  • Direct secure messaging: charris3021136@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1083097869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204782",
            "telephone_number": "912-466-5815",
            "fax_number": "912-265-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32209",
            "country_code": "US",
            "telephone_number": "904-244-3092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "TRN21545",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "86509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.