Individual provider Active NPI

Jamila Harris, NP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1215598115
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06191724 Issued in GA
Practice address
710 Center St
Columbus, GA 31901-1527
Phone
(706) 571-1000
NPI assigned
Jun 22, 2019
Last updated
Jun 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06191724 GA Primary

Addresses

Primary practice location

710 Center St
Columbus, GA 31901-1527

Mailing address

7461 Blackmon Rd Apt 4404
Columbus, GA 31909-8405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191010002995 GA Practitioner - Nurse Practitioner 2466783188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Physician Services LLCGroup PAC ID 6305100850, 33 clinicians
Emergency Group of Columbus LLCGroup PAC ID 2668735515, 40 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06191724GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Aug 1, 2019 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1215598115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 BLACKMON RD APT 4404",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319098405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011527",
            "telephone_number": "706-571-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F06191724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.