NPIMap

Individual provider Active NPI

Karen Leigh Harness, PA-C

  • Physician Assistant
  • Pinson, AL
National Provider Identifier
1609802586
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-123 Issued in AL
Practice address
5925 Mockingbird LN
Pinson, AL 35126-3458
Phone
(205) 681-0079
NPI assigned
Jun 23, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-123 AL Primary
Surgical Physician Assistant 363AS0400X PA-123 AL

Addresses

Primary practice location

5925 Mockingbird LN
Pinson, AL 35126-3458

Mailing address

5925 Mockingbird LN
Pinson, AL 35126-3458
Phone (205) 681-0079

Other identifiers 6

IdentifierTypeStateIssuer
051529442OtherALBLUE CROSS
009934249MedicaidAL
051529443OtherALBLUE CROSS
009932158MedicaidAL
051529441OtherALBLUE CROSS
891009960MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001209 AL Practitioner - Physician Assistant 8921040346 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-123ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Payne Clinic Corp CurrentSince Jan 1, 2019 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Oct 4, 2016 Accepting new patients
Gaylon R. Rogers MD, PC Past Accepting new patients
Thoracic & Cardiovascular Associates of Tuscaloosa PC Past Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Central Alabama Emergency Physicians, LLC Past Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1609802586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 MOCKINGBIRD LN",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263458",
            "telephone_number": "205-681-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 MOCKINGBIRD LN",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263458",
            "telephone_number": "205-681-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNESS",
        "first_name": "KAREN",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-123",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051529442",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934249",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051529443",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932158",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051529441",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891009960",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinson, AL

Sources for this page

Verify at the official NPI Registry.