Individual provider Active NPI

Jeffery Willard Harris, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1750005625
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-102763 Issued in AL
Practice address
1201 7TH St SE
Decatur, AL 35601-3337
Phone
(256) 973-2000
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-102763 AL Primary

Addresses

Primary practice location

1201 7TH St SE
Decatur, AL 35601-3337

Mailing address

2828 Highway 31 S
Decatur, AL 35603-1538
Phone (256) 353-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230208000185 AL Practitioner - Nurse Practitioner 0749652329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Med-Surg Clinic, LLCGroup PAC ID 7618996620, 4 clinicians
P J M Reddy MDGroup PAC ID 3072838960, 3 clinicians

Practice addresses (Care Compare)

2828 Hwy 31 S
Decatur, AL 35603-1538
Phone (256) 353-2000

2828 Hwy 31 S
Suite 101
Decatur, AL 35603-1510
Phone (256) 309-5627

Hospital & facility affiliations

  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-102763ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P J M Reddy MD CurrentSince Oct 1, 2025 Accepting new patients
Decatur Morgan Primary Care CurrentSince Aug 12, 2023 Accepting new patients
Decatur Med-Surg Clinic, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2828 Highway 31 S
Ste 101
Decatur, AL 35603
Phone (256) 309-5627

1215 7th St SE
Decatur, AL 35601
Phone (256) 351-5400

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

2828 Highway 31 S
Decatur, AL 35603
Phone (256) 340-1212

Organizations & group practices 3

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 2

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1750005625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-353-2000",
            "fax_number": "256-260-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-973-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFERY",
        "middle_name": "WILLARD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-102763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.