Individual provider Active NPI

Erika M. Harris, PA-C

  • Internal Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1144569435
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0110003903 Issued in VA
Practice address
1769 Jamestown Rd Ste 101
Williamsburg, VA 23185-2310
Phone
(757) 719-9039
Fax
(866) 432-1706
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0110003903 VA Primary
Physician Assistant 363A00000X 0110003903 VA

Addresses

Primary practice location

1769 Jamestown Rd Ste 101
Williamsburg, VA 23185-2310

Mailing address

1769 Jamestown Rd Ste 101
Williamsburg, VA 23185-2310
Phone (910) 850-8636

Other identifiers 1

IdentifierTypeStateIssuer
1144569435MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20151104001779 VA Practitioner - Physician Assistant 8729398680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003903VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: eharrispac@benevolenthealthcare.kareodirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1144569435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852310",
            "telephone_number": "910-850-8636",
            "fax_number": "866-432-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852310",
            "telephone_number": "757-719-9039",
            "fax_number": "866-432-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ERIKA",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0110003903",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144569435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.