Active NPI
Chivas Michelle Harris, FNP-C
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN221502
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (617) 505-1520
- NPI assigned
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN221502 | GA | Primary |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
1 Castle Hill Rd
Savannah, GA 31419-6602
Phone (912) 800-3733
Other practice location 1
1 Castle Hill Rd
Savannah, GA 31419-6602
Phone (912) 800-3733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN221502 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Post Acute Specialists of Texas PA | Nurse Practitioner | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Steward Center for Palliative Care | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Nurse Practitioner | Past | Accepting new patients |
| Saint Francis Medical Center | Nurse Practitioner | Past | Accepting new patients |
| Northwest Iowa Hospital Corporation | Past | Accepting new patients | |
| Form Health Associates Ma, P.C. | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
4700 Waters Ave
Fl 1
Savannah, GA 31404
Phone (912) 350-3438
4700 Waters Ave
#1
Savannah, GA 31404
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
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- Geriatric Medicine (Family Medicine) Physician
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- NPI 1942859350
Nurse Practitioner
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Case Management Agency
- Savannah, GA
- NPI 1013964907
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
Nurse Practitioner
-
- Psychiatric Hospital Unit
- Sioux City, IA
- NPI 1376637512
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1639647357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CASTLE HILL RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314196602",
"telephone_number": "912-800-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "617-505-1520"
}
],
"practiceLocations": [
{
"address_1": "1 Castle Hill Rd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314196602",
"country_code": "US",
"telephone_number": "912-800-3733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHIVAS",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN221502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.