Individual provider Active NPI

Christopher Maurice Harrison, PA-C

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1205392396
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA-902 Issued in AR
Practice address
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone
(501) 626-8961
NPI assigned
Feb 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X PA-902 AR
Student in an Organized Health Care Education/Training Program 390200000X AR
Family Medicine Physician 207Q00000X PA-902 AR Primary

Addresses

Primary practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Mailing address

P.O. Box 1515
Durant, OK 74702-1515

Other practice location 1

2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-3000

Other practice location 2

2201 Wildwood Ave
Sherwood, AR 72120-5074
Phone (501) 834-1800

Other practice location 3

1 Saint Vincent Cir Ste 120
Little Rock, AR 72205-5406
Phone (501) 552-2660

Other names 1

  • Chris Maurice Harrison Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200505000563 AR Practitioner - Physician Assistant 8729419809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Medical Services PLLCGroup PAC ID 3971661018, 15 clinicians

Practice addresses (Care Compare)

1 St Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2660

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3000

8701 Riley Dr
Little Rock, AR 72205-6509
Phone (501) 224-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-902ARMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Medical Services, PLLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

3300 Alcoa Rd
Benton, AR 72015
Phone (501) 315-1700

6907 Highway 5 N
Bryant, AR 72022
Phone (501) 213-0547

1320 Braden St
Jacksonville, AR 72076
Phone (501) 241-2191

1 Saint Vincent Cir
Little Rock, AR 72205
Phone (479) 878-2250

1 Saint Vincent Cir
Ste 120
Little Rock, AR 72205
Phone (501) 552-2660

2 Saint Vincent Cir
Fl 6
Little Rock, AR 72205
Phone (501) 265-0600

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

2201 Wildwood Ave
Sherwood, AR 72120
Phone (501) 834-1800

Organizations & group practices 1

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1205392396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1515",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055423",
            "telephone_number": "501-626-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Wildwood Ave",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205089",
            "country_code": "US",
            "telephone_number": "501-552-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Wildwood Ave",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205074",
            "country_code": "US",
            "telephone_number": "501-834-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Vincent Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055406",
            "country_code": "US",
            "telephone_number": "501-552-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "PA-902",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "PA-902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "HARRISON",
            "middle_name": "MAURICE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.