Active NPI
Stephanie R Harmon
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1104494095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3126 Milton Rd Ste 217
Charlotte, NC 28215-3775 - Phone
- (704) 534-6380
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | FFM6309 | NC | |
| Transportation Broker | 347E00000X | NC | ||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3126 Milton Rd Ste 217
Charlotte, NC 28215-3775
Mailing address
2806 Reynolda Rd # 236
Winston Salem, NC 27106-3102
Phone (743) 444-2324
Other practice location 1
2806 Reynolda Rd # 236
Winston Salem, NC 27106-3102
Phone (743) 444-2324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852188700 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FFM6309 | NC | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie R. Harmon, Inc. | Community/Behavioral Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Hickory, NC
- NPI 1043040470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1104494095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 REYNOLDA RD # 236",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063102",
"telephone_number": "743-444-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 MILTON RD STE 217",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153775",
"telephone_number": "704-534-6380"
}
],
"practiceLocations": [
{
"address_1": "2806 Reynolda Rd # 236",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063102",
"country_code": "US",
"telephone_number": "743-444-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARMON",
"first_name": "STEPHANIE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "FFM6309",
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "852188700",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.