Jerel Keith Harris, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN165803 Issued in GA

Practice address

1677 Archer Estates Dr NW
Kennesaw, GA 30152-8101

Phone

(478) 228-8506

NPI assigned

Apr 6, 2019

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TN, CO, VA, WV5 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 5

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as group

Quality

76.13

Improvement activities

40

Cost

69.23

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerel.harris.1@33029.direct.athenahealth.com

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group
• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment NPD
• Atlanta Medical Clinic L L C

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1891018016
  Medicare reassignment NPD
• Expert Wound Care LLC

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1063234367
  Medicare reassignment NPD
• Restorathens, LLC

  • Clinic/Center
  • Athens, GA
  • NPI 1295405488
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  GA

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA, VA

  Medicare reassignment NPD
• Visavis Health Care Medical Group of TN PLLC

  • Family Medicine Physician
  • La Follette, TN
  • NPI 1407639172
  Medicare reassignment NPD
• Visavis Health Care Medical Group of VA LLC

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1508649278
  Medicare reassignment NPD
• Visavis Health Care Medical Group of WV PLLC

  • Family Medicine Physician
  • Hurricane, WV
  • NPI 1215792155
  Medicare reassignment NPD
• Harris Heritage Holdings LLC

  • Clinic/Center
  • Macon, GA
  • NPI 1104700327
  NPD Authorized official
• Total Care Family Practice Rick Bobay LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1356674162

  Family

  NPD

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1750843876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 ARCHER ESTATES DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528101",
            "telephone_number": "478-228-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 ARCHER ESTATES DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528101",
            "telephone_number": "478-228-8506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 US 41 N",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307015510",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEREL",
        "middle_name": "KEITH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN165803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasiana B Harmon
• Devon Ariel Harness, LCSW
• Harrington Home Healthcare LLC
• Brent C Harris, MA, LPC
• Jennifer Leigh Harris, P.T., DPT
• Kashondra Denae Harris, FNP
• Leann Harris
• Satasia M Harris
• Tony Lee Harris, RPH
• Twiggy L Harris, MD

• Family Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.