Individual provider Active NPI

Howard Lee Harris Jr.

  • Medical Physician Assistant
  • Chincoteague, VA
National Provider Identifier
1730995069
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4049 Main St
Chincoteague, VA 23336-2406
Phone
(757) 336-3682
Fax
(757) 336-3703
NPI assigned
Dec 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

4049 Main St
Chincoteague, VA 23336-2406

Mailing address

4402 Main St
Chincoteague, VA 23336-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250324001626 VA Practitioner - Physician Assistant 2365964905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Rural Health System IncorporatedGroup PAC ID 2668380106, 38 clinicians

Practice addresses (Care Compare)

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 824-5676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated CurrentSince Feb 3, 2025 Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Feb 3, 2025 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients

Locations

4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676

20280 Market St
Onancock, VA 23417
Phone (757) 787-7374

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1730995069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 MAIN ST",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 MAIN ST",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362406",
            "telephone_number": "757-336-3682",
            "fax_number": "757-336-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HOWARD",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chincoteague, VA

Sources for this page

Verify at the official NPI Registry.