Individual provider Active NPI

James Clay Harris, NP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1710366570
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP08354 Issued in LA
Practice address
2727 Hearne Ave
Suite 301
Shreveport, LA 71103-3917
Phone
(318) 631-6400
Fax
(318) 631-0300
NPI assigned
May 27, 2015
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08354 LA Primary

Addresses

Primary practice location

2727 Hearne Ave
Suite 301
Shreveport, LA 71103-3917

Mailing address

PO Box 37388
Shreveport, LA 71133-7388
Phone (318) 631-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150813010537 LA Practitioner - Nurse Practitioner 5496060857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WKMC Cardiovascular ConsultantsGroup PAC ID 0941420061, 34 clinicians
Springhill Medical Services, Inc.Group PAC ID 6002728912, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

2727 Hearne Ave
Suite 301
Shreveport, LA 71103-3918
Phone (318) 631-6400

401 11TH St NE
Springhill, LA 71075-4503
Phone (318) 539-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08354LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK North Pulmonary & Critical Care CurrentSince Oct 7, 2020 Accepting new patients
WKMC Cardiovascular Consultants CurrentSince Sep 1, 2016 Accepting new patients
Springhill Medical Services, Inc. Past Accepting new patients
Bryn-Fincher Pulmonary & Critical Care Past Accepting new patients

Locations

2400 Hospital Dr
Ste 350
Bossier City, LA 71111
Phone (318) 212-7902

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

102 S Monroe St
Minden, LA 71055
Phone (318) 377-3425

1029 Keyser Ave
Ste M
Natchitoches, LA 71457

1809 Northpointe Ln
Ste 130
Ruston, LA 71270

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2508 Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71118
Phone (318) 686-8808

2551 Greenwood Rd
Ste 210
Shreveport, LA 71103
Phone (318) 212-8159

2727 Hearne Ave
Ste 301
Shreveport, LA 71103

8001 Youree Dr
Ste 740
Shreveport, LA 71115
Phone (318) 212-3830

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

1003 S Spruce St
Vivian, LA 71082
Phone (318) 375-3239

10320 Little Patuxent Pkwy
Ste 23302
Columbia, MD 21044

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1710366570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37388",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711337388",
            "telephone_number": "318-631-6400",
            "fax_number": "318-631-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HEARNE AVE",
            "address_2": "SUITE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033917",
            "telephone_number": "318-631-6400",
            "fax_number": "318-631-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "middle_name": "CLAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.