Active NPI
Tasha Jean Harris, PA-C
- Physician Assistant
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00216
- Practice address
- 514 N Brightleaf Blvd Ste 1610
Smithfield, NC 27577-4486 - Phone
- (919) 938-7187
- Fax
- (919) 938-7201
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-00216 | NC | |
| Physician Assistant | 363A00000X | 0010-00216 | NC | Primary |
Addresses
Primary practice location
514 N Brightleaf Blvd Ste 1610
Smithfield, NC 27577-4486
Mailing address
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560-8442
Phone (800) 594-8624
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tharris211070@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090223000221 | NC | Practitioner - Physician Assistant | 6204991441 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
37 Pineville Blvd
Clayton, NC 27527-9355
507 N Brightleaf Blvd
Smithfield, NC 27577-4405
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123
Hospital & facility affiliations
- Rex Hospital
- Johnston Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00216 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2076 Veterans Pkwy
Ste 250
Clayton, NC 27520
Phone (919) 550-3334
37 Pineville Blvd
#101
Clayton, NC 27527
Phone (984) 215-5040
34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850
400 N Englewood Dr
Kenly, NC 27542
Phone (919) 284-4149
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
1041 Noell Ln
Ste 105
Rocky Mount, NC 27804
Phone (252) 442-9600
507 N Brightleaf Blvd
Ste 102
Smithfield, NC 27577
Phone (919) 938-4040
514 N Brightleaf Blvd
Ste 1610
Smithfield, NC 27577
Phone (919) 934-8171
Interoperability endpoints
- tharris211070@direct.unc.nchie.net
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 and National Provider Directory roles.
-
- Physical Therapist
- Wilson, NC
- NPI 1861450884
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1487700449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR",
"address_2": "STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442",
"telephone_number": "800-594-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N BRIGHTLEAF BLVD STE 1610",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774486",
"telephone_number": "919-938-7187",
"fax_number": "919-938-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TASHA",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-00216",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tharris211070@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "514 N Brightleaf Blvd Ste 1610",
"city": "Smithfield",
"state": "NC",
"country_code": "US",
"postal_code": "275774486",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.