Individual provider Active NPI

Christina Marie Harrison, AGNP-BC

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1245620079
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011028 Issued in NC
Practice address
10210 Hickorywood Hill Ave Ste 200
Huntersville, NC 28078-3417
Phone
(704) 274-9084
Fax
(828) 538-4441
NPI assigned
Feb 2, 2015
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011028 NC Primary

Addresses

Primary practice location

10210 Hickorywood Hill Ave Ste 200
Huntersville, NC 28078-3417

Mailing address

PO Box 1231
Bryson City, NC 28713-1231
Phone (888) 693-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170801002760 GA Practitioner - Nurse Practitioner 6709183452 Reassigns benefits to 1 organization
I20181218003264 NC Practitioner - Nurse Practitioner 6709183452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince May 15, 2018 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince May 15, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 12, 2022 Accepting new patients
Bethany Medical Center Nurse Practitioner Past Accepting new patients

Locations

120 E Carter Ave
Blackshear, GA 31516
Phone (912) 449-4426

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

850 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-3211

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: charrison383554@direct.ecuhealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 2

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1245620079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287131231",
            "telephone_number": "888-693-3410",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 HICKORYWOOD HILL AVE STE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783417",
            "telephone_number": "704-274-9084",
            "fax_number": "828-538-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.