Organization Active NPI

Harris Medical Group PLLC

Doing business as River Valley Wound Specialists LLC

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1780485433
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HARRIS MEDICAL GROUP PLLC
Doing business as
River Valley Wound Specialists LLC
Practice address
305 N Greenwood Ave
Fort Smith, AR 72901-3453
Phone
(479) 353-9567
Fax
(479) 242-1468
NPI assigned
Mar 20, 2025
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Hope Ann Harris, RN
Title
Owner/Partner
Phone
(479) 353-7764

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Urgent Care Clinic/Center 261QU0200X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

305 N Greenwood Ave
Fort Smith, AR 72901-3453

Mailing address

305 N Greenwood Ave
Fort Smith, AR 72901-3453
Phone (479) 353-9567

Other names 1

  • River Valley Wound Specialists LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250107002428 AR Part B Supplier - Clinic/Group Practice 2466980255 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Smith, AR
O20250408003971 OK Part B Supplier - Clinic/Group Practice 2466980255 Receives reassigned benefits from 1 practitioner
Practice locations: Pocola, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harris Medical Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 N Greenwood Ave
Fort Smith, AR 72901
Phone (479) 353-9567

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1780485433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013453",
            "telephone_number": "479-353-9567",
            "fax_number": "479-242-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013453",
            "telephone_number": "479-353-9567",
            "fax_number": "479-242-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "479-353-7764",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Wound Specialists LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Valley Wound Specialists LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.