Harris Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9300142 Issued in NC

Legal business name

HARRIS FAMILY PRACTICE PLLC

Practice address

201 East Livermore Drive
Pembroke, NC 28372-7271

Phone

(910) 272-6422

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

HARRIS FAMILY PRACTICE PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Glenn R. Harris, MD

Title

President

Phone

(910) 272-6422

Specialties & licenses 1

Addresses

Other names 1

• Harris Family Practice at Angel Exchange Doing business as

Part of

Harris Family Practice PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Harris Family Practice PLLC

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1992925978
  NPPES parent name

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1104083500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST LIVERMORE DRIVE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727271",
            "telephone_number": "910-272-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST LIVERMORE DRIVE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727271",
            "telephone_number": "910-272-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS FAMILY PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRIS FAMILY PRACTICE PLLC",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-272-6422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9300142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Family Practice at Angel Exchange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harrington Assisted Living # 2
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• Harrington Assisted Living # 5
• Harrington Assisted Living # 9
• Harrington Assisted Living #3
• Carrington Harris
• Julie Anne Harrison-Swartz, DNP, MSN, RN, FNP-BC
• Jalisa Hayes, BSW
• Lyasia Nykoa Hazzard
• Healthkeeperz

• All providers in Pembroke, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.