Individual provider Active NPI

Janan Jaraysi Harbin, PA-C

  • Medical Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1144893892
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9120028 Issued in FL
Practice address
1401 Centerville Rd
Tallahassee, FL 32308-4647
Phone
(850) 877-7241
Fax
(850) 877-1338
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2027 AL
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 9120028 FL Primary

Addresses

Primary practice location

1401 Centerville Rd
Tallahassee, FL 32308-4647

Mailing address

3341 Skyview Dr
Tallahassee, FL 32303-7067
Phone (205) 529-9902

Other practice location 1

1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone (850) 877-7241

Other names 1

  • Janan Fadi Jaraysi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221028001572 AL Practitioner - Physician Assistant 7719354000 Reassigns benefits to 1 organization
I20250609001828 FL Practitioner - Physician Assistant 7719354000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Women'S Care, P.a.Group PAC ID 0840284923, 20 clinicians

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4638
Phone (850) 877-7241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2027ALMDChiropractor
9120028FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Mitchell Clinic PC PastSince Oct 11, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janan.harbin.1@28306.direct.athenahealth.com

Organizations & group practices 4

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1144893892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 SKYVIEW DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037067",
            "telephone_number": "205-529-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084611",
            "country_code": "US",
            "telephone_number": "850-877-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "JANAN",
        "middle_name": "JARAYSI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "2027",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9120028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANAN",
            "last_name": "JARAYSI",
            "middle_name": "FADI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.