Angela Grace Harris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110009605 Issued in VA

Practice address

644 University Blvd
Harrisonburg, VA 22801-3773

Phone

(540) 932-5850

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Grace Vickers Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Augusta Health Hospital, Fishersville, VA, CCN 490018
• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
• VMRC, Complete Living Care Nursing home, Harrisonburg, VA, CCN 495385

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avickers@svosm.gwaydirect.com
• Direct secure messaging: angela.harris.1@14718.direct.athenahealth.com

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.

• Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
  • NPI 1245489590
  Medicare reassignment Care Compare group
• Augusta Medical Group

  • Rural Health Clinic/Center
  • Lexington, VA
  • NPI 1265015580
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Augusta Health Care, Inc

  • General Acute Care Hospital
  • Fishersville, VA
  • NPI 1053301127
  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372
  Care Compare affiliation
• Virginia Mennonite Home, Inc.

  • Skilled Nursing Facility
  • Harrisonburg, VA
  • NPI 1013943133

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1366906240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-932-5850",
            "fax_number": "540-932-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 UNIVERSITY BLVD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013773",
            "telephone_number": "540-932-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12569 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163164325",
            "country_code": "US",
            "telephone_number": "814-795-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANGELA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "VICKERS",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Victoria Harley, LPC
• Bonnie Harlow, LCSW
• Donald Harlow II, COTA/L
• Jeannette Hope Harper
• Sarah Harper, LPC
• Arayana Amira Harris
• Benjamin B Harris, DPT
• Michelle Harris
• Stephanie Nicole Harris
• David W Harrison

• Physician Assistant in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.

Verify at the official NPI Registry.