Individual provider Active NPI

Heather Greenberg Harrison, PA-C

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1710454178
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5097 Issued in SC
Practice address
2001 2ND Ave Ste 101
Summerville, SC 29486-7887
Phone
(843) 722-8000
Fax
(843) 647-6066
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5097 SC Primary

Addresses

Primary practice location

2001 2ND Ave Ste 101
Summerville, SC 29486-7887

Mailing address

2001 2ND Ave Ste 101
Summerville, SC 29486-7887
Phone (843) 722-8000

Other practice location 1

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000

Other practice location 2

180 Wingo Way Ste 305
MT Pleasant, SC 29464-1812
Phone (843) 722-8000

Other practice location 3

328 Midland Pkwy
Summerville, SC 29485-8102
Phone (843) 722-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200831001638 VA Practitioner - Physician Assistant 1850636523 Reassigns benefits to 1 organization
I20231128003920 SC Practitioner - Physician Assistant 1850636523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485-8102
Phone (843) 722-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5097SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Gastroenterology Specialists CurrentSince Jan 8, 2024 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000

180 Wingo Way
Ste 305
Mt Pleasant, SC 29464
Phone (843) 722-8000

2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485
Phone (843) 722-8000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1710454178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-722-8000",
            "fax_number": "843-647-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-722-8000",
            "fax_number": "843-647-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1962 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145837",
            "country_code": "US",
            "telephone_number": "843-722-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Wingo Way Ste 305",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294641812",
            "country_code": "US",
            "telephone_number": "843-722-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 Midland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858102",
            "country_code": "US",
            "telephone_number": "843-722-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HEATHER",
        "middle_name": "GREENBERG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.