Individual provider Active NPI

Vernetta Harris, M.D.

  • Emergency Medicine Physician
  • Decatur, GA
National Provider Identifier
1679790612
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C145558 Issued in CA
Practice address
2701 N Decatur Rd
Decatur, GA 30033
Phone
(404) 501-5762
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C145558 CA Primary
Emergency Medicine Physician 207P00000X MD229894 OR
Emergency Medicine Physician 207P00000X 059165 GA

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033

Mailing address

825 Crestwell Cir SW
Atlanta, GA 30331-8623
Phone (404) 696-3326

Other practice location 1

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, MO, CA, OR5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070828000931 GA Practitioner - Emergency Medicine 7214029750 Reassigns benefits to 7 organizations
I20150318000887 TN Practitioner - Emergency Medicine 7214029750 Reassigns benefits to 1 organization
I20160620001200 MO Practitioner - Emergency Medicine 7214029750 Reassigns benefits to 1 organization
I20170130001557 CA Practitioner - Emergency Medicine 7214029750 Reassigns benefits to 2 organizations
I20260618004311 OR Practitioner - Emergency Medicine 7214029750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelfish Emergency Physicians LLCGroup PAC ID 7517282817, 13 clinicians

Practice addresses (Care Compare)

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (954) 939-5000

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C145558CAMDEmergency Medicine Physician
059165GAMDEmergency Medicine Physician
MD229894ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Physicians Management Group, LLC CurrentSince Nov 13, 2018 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Jun 18, 2023 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Mar 19, 2026 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Angelfish Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1679790612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CRESTWELL CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318623",
            "telephone_number": "404-696-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-501-5762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5222",
            "fax_number": "541-767-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VERNETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C145558",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD229894",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "059165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.