Harris Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HARRIS FAMILY MEDICINE, PLLC

Practice address

630 W Court St Ste B
Paragould, AR 72450-4247

Phone

(870) 236-6911

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Harris, MDNPI 1548611049

Title

Owner/Physician

Phone

(870) 215-1601

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Harris, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1548611049

  Single Specialty

  Medicare reassignment NPD Authorized official
• Amy Elms, APRN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1518481589
  Medicare reassignment NPD
• Jamie L Jordan, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1285726869
  Medicare reassignment NPD
• Suzanne Bushong, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1417929316
  NPD
• Samuel Scott Burchfield, MD

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1124098587
  NPD (past)
• John R Hines, D.O.

  • Family Medicine Physician
  • Morton, WA
  • NPI 1629031950
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1710530480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W COURT ST STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W COURT ST STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "870-215-1601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E-12415",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Katherine Hardee, LPC
• Paula Hardin, RN
• Anna Marie Haring, MD
• David Harmonson
• Madelyn Harness
• Barry Harris, O.D.
• Christine Harris, LMSW
• McKenzie Harris, QBHP
• Ryan Harris, M.D.
• Sonya Harris, LMSW

• Family Medicine Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.