Individual provider Active NPI

William R Harris, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1447281928
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35132 Issued in NC
Practice address
3511 W Market St Ste 250
Greensboro, NC 27403-4445
Phone
(336) 852-3800
Fax
(336) 852-5725
NPI assigned
Jul 5, 2006
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35132 NC Primary

Addresses

Primary practice location

3511 W Market St Ste 250
Greensboro, NC 27403-4445

Mailing address

PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 852-3800

Other identifiers 3

IdentifierTypeStateIssuer
8927908MedicaidNC
27908OtherNCBCBS OF NC
42772OtherNCMEDCOST

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address william.harris@eaglep.eclinicaldirectplus.com
Direct Messaging Address william.harris@eaglep.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000471 NC Practitioner - Family Practice 3971631938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3511 W Market St
Suite 250
Greensboro, NC 27403-4445
Phone (336) 852-3800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Nov 6, 2000 Accepting new patients
Eagle Physicians and Associates PA Family Medicine Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 6, 2000 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515

3511 W Market St
Ste 250
Greensboro, NC 27403
Phone (336) 852-3800

3511 W Market St
Ste A
Greensboro, NC 27403
Phone (336) 852-3800

Interoperability endpoints

  • Direct secure messaging: william.harris@eaglep.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1447281928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-852-3800",
            "fax_number": "336-852-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST STE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034445",
            "telephone_number": "336-852-3800",
            "fax_number": "336-852-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927908",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "27908",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "42772",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.harris@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3511 W Market St",
            "address_2": "Suite A",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274034443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.harris@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3511 W Market St Ste 250",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274034445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.