Individual provider Active NPI

Alexandra Noel Harris, MSN, AG-ACNP

  • Acute Care Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1154824803
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
904685 Issued in MS
Practice address
1502 S Colorado St
Greenville, MS 38703-7219
Phone
(662) 332-9872
Fax
(662) 378-0290
NPI assigned
Mar 8, 2018
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 904685 MS
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 904685 NC
Nurse Practitioner 363L00000X 5010418 NC
Acute Care Nurse Practitioner 363LA2100X 5010418 NC
Adult Health Nurse Practitioner 363LA2200X 904685 MS
Critical Care Medicine Nurse Practitioner 363LC0200X 904685 MS
Acute Care Nurse Practitioner 363LA2100X 904685 MS Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 5010418 NC

Addresses

Primary practice location

1502 S Colorado St
Greenville, MS 38703-7219

Mailing address

511 N Plantation Dr
Greenville, MS 38701-7723
Phone (919) 985-4584

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 681-1779

Other practice location 2

1907 Lisa Drive Ext
Greenville, MS 38703-4429
Phone (662) 335-3252

Other practice location 3

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211111000397 MS Practitioner - Nurse Practitioner 3274888003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Greenville ClinicGroup PAC ID 4082694641, 8 clinicians

Practice addresses (Care Compare)

1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904685NCMDAdvanced Heart Failure and Transplant Cardiology Physician
904685MSMDAcute Care Nurse Practitioner
5010418NCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Greenville Clinic CurrentSince Jan 10, 2022 Accepting new patients
Delta Medical Group Emergency Medicine CurrentSince Jul 30, 2021 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Nov 1, 2021 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

1502 S Colorado St
Greenville, MS 38703
Phone (601) 332-9872

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929

Interoperability endpoints

  • Direct secure messaging: alexandraharris@tgcpa.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1154824803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N PLANTATION DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017723",
            "telephone_number": "919-985-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-332-9872",
            "fax_number": "662-378-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-681-1779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Lisa Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387034429",
            "country_code": "US",
            "telephone_number": "662-335-3252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Union St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387033246",
            "country_code": "US",
            "telephone_number": "662-378-3783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALEXANDRA",
        "middle_name": "NOEL",
        "credential": "MSN, AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "904685",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NC",
            "license": "904685",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010418",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5010418",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "904685",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MS",
            "license": "904685",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "904685",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5010418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.