Individual provider Active NPI

Alison Denise Harrison, NP-C

  • Gerontology Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1225433311
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5007289 Issued in NC
Practice address
7845 Little Ave
Charlotte, NC 28226-8198
Phone
(704) 375-0100
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5007289 NC Primary
Nurse Practitioner 363L00000X 228361 NC
Nurse Practitioner 363L00000X 5007289 NC
Nurse Practitioner 363L00000X H120023 IA

Addresses

Primary practice location

7845 Little Ave
Charlotte, NC 28226-8198

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-4915

Other practice location 1

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 512-5263

Other practice location 2

1111 6th Ave Ste W308
Des Moines, IA 50314-2610
Phone (515) 643-4915

Other identifiers 2

IdentifierTypeStateIssuer
1225433311MedicaidNC
NP3759MedicaidSC

Other names 1

  • Alison Gerlach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150304001658 NC Practitioner - Nurse Practitioner 2860718186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10660 Park Rd
Suite 1100
Charlotte, NC 28210-8407
Phone (980) 442-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H120023IAMDNurse Practitioner
228361NCMDNurse Practitioner
5007289NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 23, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Physicians Eldercare PA CurrentSince Jan 3, 2015 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 23, 2021 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10660 Park Rd
Ste 1100
Charlotte, NC 28210
Phone (980) 442-0865

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aharrison499098@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1225433311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-4915",
            "fax_number": "515-643-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-512-5263",
            "fax_number": "704-512-2428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave Ste W308",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142610",
            "country_code": "US",
            "telephone_number": "515-643-4915",
            "fax_number": "515-643-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ALISON",
        "middle_name": "DENISE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007289",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "228361",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007289",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H120023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225433311",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3759",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "GERLACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.