Nacoya Shuntiedra Harris

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

265 Kings Cir
Athens, GA 30606-1103

Phone

(706) 338-2106

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1598406126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 KINGS CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061103",
            "telephone_number": "706-338-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 KINGS CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061103",
            "telephone_number": "706-338-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NACOYA",
        "middle_name": "SHUNTIEDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.proficiencydiagnosticsllc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "265 Kings Cir",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306061103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia P Harris
• Carl Wayne Harris Jr., DO
• Destiny Harris
• Jessica Marie Harris, RD LD
• Michael Harris, DPT
• Meredith Marchelle Harrison-Spears, D.C.
• Sarah Harrison, NP-C
• Harron Eyecare
• Andrea Weir Harron, O.D.
• Sean Patrick Harron, O.D.

• Phlebotomy Technician in Athens, GA
• Providers in Athens, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.