Preethi S Harrison, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11520 Haleiwa PL
Diamondhead, MS 39525-4133

Phone

(228) 332-1502

NPI assigned

Nov 10, 2014

Last updated

Nov 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care Doc LLCGroup PAC ID 7719223957, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psharrison@direct.mhg.com

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.

• Care Doc LLC

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1225505993
  Medicare reassignment Care Compare group
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598
  Medicare reassignment
• Caredoc LLC

  • Physical Medicine & Rehabilitation Physician
  • Gulfport, MS
  • NPI 1306583505
  NPD
• Memorial Hospital at Gulfport

  dba Memorial Surgery Center Gulf South

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1376153023
  NPD

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1144626706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 HALEIWA PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395254133",
            "telephone_number": "228-332-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 HALEIWA PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395254133",
            "telephone_number": "228-332-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PREETHI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hancock Medical Health Services, Inc. (Hancock Medical Orthopedic)
• Hancock Medical Health Services, Inc. (Hancock Family Medicine)
• Hancock Medical Health Services, Inc. (Hancock Medical Womens Services)
• Hancock Medical Health Services, Inc. (Diamondmed Urgent Care)
• Charles Eugene Harris, PH.D.
• Allison Kae Hennessey
• Desmond Wayne Hoda, D.C.
• John Cameron Hodge, D.O.
• Kenneth Edward Hultman
• Ronald Fulton Kellum, M.D.

• Physician Assistant in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.