Emdee Clinica, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101052898 Issued in VA

Legal business name

EMDEE CLINICA, PLLC

Doing business as

eMDee Clinica

Practice address

23164 Kestrel Dr
Bristol, VA 24202

Phone

(423) 341-3040

NPI assigned

Feb 10, 2007

Last updated

Jul 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra Lynn Harman, MD, FAAFPNPI 1093794257

Title

Founder/Physician

Phone

(423) 341-3040

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• eMDee Clinica Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Lynn Harman, MD, FAAFP

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1093794257
  NPD (past) Authorized official

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1154462117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23164 KESTREL DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025070",
            "telephone_number": "423-341-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23164 KESTREL DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "423-341-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDEE CLINICA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER/PHYSICIAN",
        "authorized_official_telephone_number": "423-341-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAFP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101052898",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "37264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BC/BS OF VIRGINIA",
            "identifier": "386590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042666",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eMDee Clinica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "eMDee Clinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahmoud Mohamed Ahmed Elhagaly
• Elite Home Care Solutions, LLC (Elite Hospice)
• Danielle Renee Elkins, MS, CCC-SLP
• Brittney Crowder Ellis, D.D.S.
• Miranda Ely, LBA
• Katie Enix, COTA/L
• Deron Ernst, LPC
• Fairview Housing Management Corp (Bristol Lifestyle Recovery)
• Tammy Lynn Farmer
• John Mitchell Farthing, DO

• Primary Care Clinic/Center in Bristol, VA
• Providers in Bristol, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.