David A Harris, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102926 Issued in FL

Practice address

2222 S. Harbor City Blvd
Suite 420
Melbourne, FL 32901

Phone

(321) 768-9914

Fax

(321) 953-1893

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Viera Hospital Hospital, Melbourne, FL, CCN 100315
• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dharris@atlanticog.emadirect.md
• Direct secure messaging: dharris22985@epicdirect.hf.org
• FHIR API: https://api.platform.athenahealth.com/12681/brand/1/csg/1/fhir/r4

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.

• Health First Medical Group, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1750626495
  Medicare reassignment Care Compare group NPD
• Atlantic Orthopaedic Group PA

  • Specialist
  • Melbourne, FL
  • NPI 1841293859
  Medicare reassignment
• Health First Medical Group, LLC

  • General Practice Physician
  • Rockledge, FL
  • NPI 1073268934
  NPD
• Melbourne Vascular & Endovascular Center PA

  • Specialist
  • Melbourne, FL
  • NPI 1437241270
  NPD (past)
• Wuesthoff Emergency Physicians PA

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1831192244
  NPD (past)
• Wuesthoff Emergency Physicians-Melbourne PA

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1508868886
  NPD (past)

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

• Holmes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Palm Bay, FL
  • NPI 1386940823
  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1528032547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S. HARBOR CITY BLVD",
            "address_2": "SUITE 420",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-768-9914",
            "fax_number": "321-953-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S. HARBOR CITY BLVD",
            "address_2": "SUITE 420",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-768-9914",
            "fax_number": "321-953-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Medical Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-768-9914",
            "fax_number": "321-953-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102926",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120074600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00400300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas H Harrell, PH.D.
• Jessica Harrill
• Alexandria Emmalyn Harrington
• Jennifer Frances Harrington, BCBA
• John J Harrington, D.O.
• Jayla Tonique Harris
• Lauren B Harris, PA-C
• Natalie Harris
• Tamara Harris
• Wen Xin Harris, RN-PICC

• Surgical Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.