Individual provider Active NPI

Anna Michelle Harris, D.O.

  • Family Medicine Physician
  • Davenport, FL
National Provider Identifier
1487849600
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11429 Issued in FL
Practice address
181 Webb Dr Ste a
Davenport, FL 33837-3964
Phone
(863) 419-1235
Fax
(863) 419-9525
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222518-1 NY
Family Medicine Physician 207Q00000X OS11429 FL Primary

Addresses

Primary practice location

181 Webb Dr Ste a
Davenport, FL 33837-3964

Mailing address

6722 Fairway Cove Dr
Orlando, FL 32835-5746
Phone (718) 644-9856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130529000614 FL Practitioner - General Practice 5092953265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

181 Webb Dr
Suite a
Davenport, FL 33837-3964
Phone (863) 419-1235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11429FLMDFamily Medicine Physician
222518-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G. Degnan, LLC Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Medical Home Alliance LLC CurrentSince Dec 28, 2025 Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients

Locations

181 Webb Dr
Ste A
Davenport, FL 33837
Phone (863) 419-1235

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

199 Avenue K SE
Winter Haven, FL 33880
Phone (563) 588-1424

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1487849600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 FAIRWAY COVE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355746",
            "telephone_number": "718-644-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WEBB DR STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373964",
            "telephone_number": "863-419-1235",
            "fax_number": "863-419-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222518-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.