Individual provider Active NPI

Harmoni Peebles, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1780951707
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4982 Issued in AZ
Practice address
901 E Jefferson St
Phoenix, AZ 85034-2219
Phone
(602) 833-3199
Fax
(602) 833-3190
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4982 AZ Primary
Physician Assistant 363A00000X PA9106312 FL

Addresses

Primary practice location

901 E Jefferson St
Phoenix, AZ 85034-2219

Mailing address

901 E Jefferson St
Hospitalists Office 4TH Floor
Phoenix, AZ 85034-2219
Phone (602) 833-3199

Other identifiers 1

IdentifierTypeStateIssuer
759119MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130214000143 AZ Practitioner - Physician Assistant 6800053778 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4982AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona CurrentSince Apr 1, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 16, 2013 Accepting new patients
Tri-City Express Care, PLLC CurrentSince May 8, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 16, 2013 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Dec 16, 2013 Accepting new patients
Circle the City CurrentSince Aug 27, 2018 Accepting new patients
Circle the City CurrentSince Aug 27, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Dec 16, 2013 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

1125 W Jackson St
Ste 448
Phoenix, AZ 85007

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

230 S 12th Ave
Ste 830
Phoenix, AZ 85007

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

210 S 12th Ave
Phoenix, AZ 85007
Phone (602) 254-4282

3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

Interoperability endpoints

  • Direct secure messaging: harmoni.peebles.1@11818.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1780951707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E JEFFERSON ST",
            "address_2": "HOSPITALISTS OFFICE 4TH FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342219",
            "telephone_number": "602-833-3199",
            "fax_number": "602-833-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342219",
            "telephone_number": "602-833-3199",
            "fax_number": "602-833-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "HARMONI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4982",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759119",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.