Peggy Kiser Harris, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

100789 Issued in NC

Practice address

1614 NC Highway 56
Creedmoor, NC 27522-8297

Phone

(919) 528-7171

Fax

(919) 528-8797

NPI assigned

Jul 24, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pharris48694@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD
• Duke Health Integrated Practice, Inc

  dba Central Carolina Foot and Ankle

  • Orthopaedic Foot and Ankle Surgery Physician
  • Durham, NC
  • NPI 1518725936
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356363089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARINA RD",
            "city": "BRACEY",
            "state": "VA",
            "postal_code": "239193203",
            "telephone_number": "436-636-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NC HIGHWAY 56",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228297",
            "telephone_number": "919-528-7171",
            "fax_number": "919-528-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PEGGY",
        "middle_name": "KISER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "100789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "100789",
            "identifier": "LICENSE NUMBER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Granville Health Inc (Community Immediate Care Center)
• Granville Health System (South Granville Primary Care)
• Guardian Angel Healthcare, LLC (Alliance Center 2)
• Rani Haddock, LPA
• Cheryl Ann Hanly, D.C.
• Terrance Harris
• Aaron Scott Hewett, DMD
• Craig Hoffmeier, M.D.
• Holding Community Health Group LLC (Holding Peer Support)
• Hushang Ghodrat DDS, PA

• Surgical Physician Assistant in Creedmoor, NC
• Providers in Creedmoor, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.