Linda Mae Harris, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN082024 Issued in GA

Practice address

311 White Ingram Pkwy
Dallas, GA 30132-0969

Phone

(678) 363-7447

Fax

(678) 363-7787

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Georgia CTC, LLC

  • Methadone Clinic
  • Dallas, GA
  • NPI 1407582042
  NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1508450156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CREEKRIDGE CT",
            "city": "TEMPLE",
            "state": "GA",
            "postal_code": "301795442",
            "telephone_number": "857-544-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WHITE INGRAM PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320969",
            "telephone_number": "678-363-7447",
            "fax_number": "678-363-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "MAE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN082024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Janke Harreld, BCBA
• Amber Harrell, R.D., L.D.
• Caroline Grace Harris, DPT
• Kimberly Ann Harris, LCSW
• Leigh Courtney Harris, BCBA
• Sadie Harris
• Sarah Harrison
• Hartfield-Jackson Sport & Spine
• Michael Hartfield, DC
• Gabriella Hartz

• Licensed Practical Nurse in Dallas, GA
• Providers in Dallas, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.