Jada Monee Harris, MD
Individual provider Active NPI Hospitalist Physician · Largo, MD
NPI 1306466529 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1306466529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- D98148 (MD)
- Practice address
- 901 Harry S Truman Dr N
Largo, MD 20774-5477 - Phone
- (240) 677-1000
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adfinitas Health at Umcap LLC
Practice addresses (Care Compare)
901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231009000679 | DC | Practitioner - Family Practice |
0941623862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D98148 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adfinitas Health at Umcap, LLC | Hospitalist | Current |
Accepting new patients |
| Dimensions Health Corporation | Past | Accepting new patients |
Locations
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
Interoperability endpoints
- jharris1031953@direct.umm.edu
- jharris@msm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D98148 | MD | |
| Hospitalist Physician | 208M00000X | D98148 | MD | Yes |
Addresses
Primary practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
677 Church St NE Attn: Gme
Marietta, GA 30060-1101
Phone (470) 956-4000
Other practice location 1
677 Church Street Attn: GME
Marietta, GA 30060-1101
Phone (470) 956-4000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jharris@msm.edu |
Other providers in Largo, MD
- Hamilton Medical & Associates
- Billie Hamilton-Powell
- Jacqueline Denise Hamilton
- Hand-in-Hand Support Services LLC.
- Davida Harper
- Fnu Harshita
- Kalimah McRae Hartwell
- Harvey Darnell Hamm
- Dalila D Harvey-Granger
- Ali Hasan
All providers in Largo, MD · Hospitalist Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.