Phylicia Harris

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24772 Issued in TN

Practice address

890 Madison Ave
Memphis, TN 38103-3409

Phone

(901) 545-7100

NPI assigned

Feb 22, 2019

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 TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Functionally Balanced Health

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1497466676
  NPD Authorized official
• Perimeter Medical Wellness

  dba PrimeHealthMD

  • Primary Care Clinic/Center
  • Alpharetta, GA
  • NPI 1306255922
  NPD (past)
• Perimeter Medical Wellness

  dba PrimeHealthMD

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1508290834
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1164989448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 SHADY ELM DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380180404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033409",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PHYLICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita S. Harris
• Marrissa Harris, ED.D
• Mekel S Harris, M.A.
• Michael Darnell Harris Jr.
• Paul Alan Harris, O.D.
• Phyllis Kay Harris, B.S.
• Sequita S Harris, BS
• Shameka Harris, LPN
• Sharikia S Harris, DDS
• Sharva Harris, RRT

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.