Individual provider Active NPI

Janice T Harris, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1306821582
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101268 Issued in NC
Practice address
2607 E 7TH St
Charlotte, NC 28204-4307
Phone
(704) 372-3714
Fax
(704) 333-4601
NPI assigned
Dec 12, 2005
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101268 NC Primary

Addresses

Primary practice location

2607 E 7TH St
Charlotte, NC 28204-4307

Mailing address

7000 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone (704) 927-7300

Other identifiers 2

IdentifierTypeStateIssuer
1238PAOtherBCBS
0463PAMedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000471 NC Practitioner - Physician Assistant 8527107432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurological Institute P.a.Group PAC ID 8921047549, 2 clinicians

Practice addresses (Care Compare)

7000 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone (704) 449-6064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101268NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Bone & Joint PA Past Accepting new patients
Carolina Bone & Joint PA Past Accepting new patients
Carolina Clinics PA Past Accepting new patients
United Sleep Medicine Associates PA Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1306821582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SHANNON WILLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "704-927-7300",
            "fax_number": "704-927-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044307",
            "telephone_number": "704-372-3714",
            "fax_number": "704-333-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JANICE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1238PA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.