Active NPI
Patricia R Harris
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- Atlanta, GA
National Provider Identifier
1275784332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN084164 CNS/PMH
- Practice address
- 4780 Ashford Dunwoody Rd
Suite a-266
Atlanta, GA 30338-5564 - Phone
- (404) 228-9661
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | RN084164 | GA | |
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | RN084164 CNS/PMH | GA | Primary |
Addresses
Primary practice location
4780 Ashford Dunwoody Rd
Suite a-266
Atlanta, GA 30338-5564
Mailing address
3102 Ashford Gables Dr
Dunwoody, GA 30338-6760
Phone (678) 580-5264
Other names 1
- Patricia R. Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN084164 CNS/PMH | GA | MD | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Consultative Services, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Psychiatric/Mental Health Registered Nurse
- Atlanta, GA
- NPI 1588727978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1275784332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 ASHFORD GABLES DR",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386760",
"telephone_number": "678-580-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 ASHFORD DUNWOODY RD",
"address_2": "SUITE A-266",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385564",
"telephone_number": "404-228-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PATRICIA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "GA",
"license": "RN084164",
"primary": false
},
{
"code": "364SP0813X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
"state": "GA",
"license": "RN084164 CNS/PMH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HARRIS",
"middle_name": "R.",
"credential": "CNS/PMS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.