Active NPI
Jennifer Needs Demartino Harrison, DO
- Family Medicine Physician
- Nags Head, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021-01507
- Practice address
- 2917 S Croatan Hwy
Nags Head, NC 27959-9027 - Phone
- (954) 873-7044
- NPI assigned
- Apr 20, 2018
- Last updated
- Aug 14, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-01507 | NC | Primary |
Addresses
Primary practice location
2917 S Croatan Hwy
Nags Head, NC 27959-9027
Mailing address
PO Box 1776
Nags Head, NC 27959-1776
Phone (252) 423-4300
Other practice location 1
943 US Highway 64
Manteo, NC 27954-9537
Phone (954) 873-7044
Other practice location 2
305 Back Rd
Ocracoke, NC 27960-1007
Phone (252) 925-7000
Other practice location 3
33270 US Hwy 264
Engelhard, NC 27824
Phone (252) 925-7000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2917 S Croatan Hwy
Nags Head, NC 27959-9027
Phone (252) 216-2791
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Croatan Family Medicine, P.C. | Current | Accepting new patients | |
| Ocracoke Health Center, Inc. | Current | Accepting new patients | |
| Surf Pediatrics and Medicine PC | Current | Accepting new patients | |
| Ocracoke Health Center, Inc. | Current | Accepting new patients | |
| Eastern Radiologists Inc | Past | Accepting new patients |
Locations
400 S Croatan Hwy
Kill Devil Hills, NC 27948
Phone (252) 441-7870
5107 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5321
100 E Dune St
Nags Head, NC 27959
Phone (252) 449-5200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Nags Head, NC
- NPI 1053167734
-
dba Manteo Community Health Center
- Federally Qualified Health Center (FQHC)
- Manteo, NC
- NPI 1215629886
-
- Pediatrics Physician
- Kitty Hawk, NC
- NPI 1609058056
-
- Federally Qualified Health Center (FQHC)
- Ocracoke, NC
- NPI 1689726101
-
- Diagnostic Radiology Physician
- Greenville, NC
- NPI 1215990171
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health and Hospice
- Home Health Agency
- Nags Head, NC
- NPI 1184296279
-
dba Sentara Albemarle Medical Center
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1265929681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1776",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279591776",
"telephone_number": "252-423-4300",
"fax_number": "252-862-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 S CROATAN HWY",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279599027",
"telephone_number": "954-873-7044"
}
],
"practiceLocations": [
{
"address_1": "943 US Highway 64",
"address_purpose": "LOCATION",
"city": "Manteo",
"state": "NC",
"postal_code": "279549537",
"country_code": "US",
"telephone_number": "954-873-7044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 Back Rd",
"address_purpose": "LOCATION",
"city": "Ocracoke",
"state": "NC",
"postal_code": "279601007",
"country_code": "US",
"telephone_number": "252-925-7000",
"fax_number": "252-925-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33270 US Hwy 264",
"address_purpose": "LOCATION",
"city": "Engelhard",
"state": "NC",
"postal_code": "27824",
"country_code": "US",
"telephone_number": "252-925-7000",
"fax_number": "252-925-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "JENNIFER",
"middle_name": "NEEDS DEMARTINO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2021-01507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.