Active NPI
Jody Harris
- Non-emergency Medical Transport (VAN)
- Alcoa, TN
National Provider Identifier
1114801792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 1605 Centennial Park Blvd Apt 331
Alcoa, TN 37701-4021 - Phone
- (865) 851-5764
- NPI assigned
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | TN | Primary |
Addresses
Primary practice location
1605 Centennial Park Blvd Apt 331
Alcoa, TN 37701-4021
Mailing address
1605 Centennial Park Blvd Apt 331
Alcoa, TN 37701-4021
Phone (865) 340-9935
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 |
|---|---|---|---|
| 075638833 | TN | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Elite Inc | Non-Emergency Medical Transport (Van) | 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.
-
- Non-emergency Medical Transport (VAN)
- Alcoa, TN
- NPI 1649147760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1114801792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 CENTENNIAL PARK BLVD APT 331",
"city": "ALCOA",
"state": "TN",
"postal_code": "377014021",
"telephone_number": "865-340-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 CENTENNIAL PARK BLVD APT 331",
"city": "ALCOA",
"state": "TN",
"postal_code": "377014021",
"telephone_number": "865-851-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JODY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-05",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.