Individual provider Active NPI

Kami Harris

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1134625643
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07973 Issued in NC
Practice address
7826 Spungold St
Raleigh, NC 27617-8603
Phone
(919) 561-9391
NPI assigned
Apr 3, 2018
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 0010-07973 NC Primary

Addresses

Primary practice location

7826 Spungold St
Raleigh, NC 27617-8603

Mailing address

7826 Spungold St
Raleigh, NC 27617-8603
Phone (919) 561-9391

Other practice location 1

7901 Emerald Dr Ste 7
Emerald Isle, NC 28594-2880
Phone (252) 354-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180608001431 NC Practitioner - Physician Assistant 2163777475 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richardson Martin IncorporatedGroup PAC ID 1658766431, 3 clinicians

Practice addresses (Care Compare)

727 W Hargett St
Suite 103
Raleigh, NC 27603-1669
Phone (919) 803-8038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07973NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beautifiul Mind Behavioral Health Services PLLC Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jul 15, 2019 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jul 15, 2019 Accepting new patients
Summit Medical Carolinas PLLC CurrentSince Feb 16, 2026 Accepting new patients
Medpsych Innovations CurrentSince Dec 10, 2025 Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients

Locations

1638 Memorial Dr
Burlington, NC 27215
Phone (336) 226-8000

114 S Park Ter
Eden, NC 27288
Phone (336) 438-2525

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

1985 Tate Blvd SE
Ste 5
Hickory, NC 28602
Phone (980) 443-6788

Interoperability endpoints

  • Direct secure messaging: kami.harris.1@18773.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1134625643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 SPUNGOLD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178603",
            "telephone_number": "919-561-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 SPUNGOLD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178603",
            "telephone_number": "919-561-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Emerald Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Emerald Isle",
            "state": "NC",
            "postal_code": "285942880",
            "country_code": "US",
            "telephone_number": "252-354-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.