Active NPI
Lara Michelle Harrison, AGPCNP-BC
- Gerontology Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5016890
- Practice address
- 7845 Little Ave
Charlotte, NC 28226-8198 - Phone
- (704) 375-0100
- Fax
- (704) 887-6450
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5016890 | NC | Primary |
Addresses
Primary practice location
7845 Little Ave
Charlotte, NC 28226-8198
Mailing address
PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Care of South Carolina, LLC | Current | Accepting new patients | |
| Hospice & Palliative Care Charlotte Region | Current | Accepting new patients | |
| Hospice & Palliative Care Charlotte Region | Current | Accepting new patients | |
| Hospice Care of South Carolina, LLC | Past | Accepting new patients | |
| Hospice & Palliative Care Charlotte Region | Past | Accepting new patients |
Locations
7845 Little Ave
Charlotte, NC 28226
136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661
136 Stonemark Ln
Ste 100
Columbia, SC 29210
Phone (803) 603-4821
187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJDHDD
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, SC
- NPI 1174956098
-
- Community Based Hospice Care Agency
- Charlotte, NC
- NPI 1548398720
-
- Community Based Hospice Care Agency
- Fort Mill, SC
- NPI 1679991301
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Mill, SC
- NPI 1417570771
-
- Community Based Hospice Care Agency
- Spartanburg, SC
- NPI 1558457804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1225752520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470408",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282470408",
"telephone_number": "704-375-0100",
"fax_number": "704-887-6450"
},
{
"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",
"fax_number": "704-887-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "LARA",
"middle_name": "MICHELLE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5016890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.