Active NPI
Charles O. Harris, M.D.
- Obstetrics & Gynecology Physician
- Durham, NC
National Provider Identifier
1376627422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24830
- Practice address
- 4116 Capitol St
Durham, NC 27704-2152 - Phone
- (919) 620-4467
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24830 | NC | Primary |
Addresses
Primary practice location
4116 Capitol St
Durham, NC 27704-2152
Mailing address
4116 Capitol St
Harris and Smith OB GYN
Durham, NC 27704-2152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8939857 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1376627422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 CAPITOL ST",
"address_2": "HARRIS AND SMITH OB GYN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4116 CAPITOL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042152",
"telephone_number": "919-620-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHARLES",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "24830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8939857",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.