Active NPI
Robert T Harris, PA
- Physician Assistant
- Clinton, NC
National Provider Identifier
1821209313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00178
- Practice address
- 603 Beaman St
Suite 100
Clinton, NC 28328-2650 - Phone
- (910) 590-0027
- Fax
- (910) 590-3258
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00178 | NC | Primary |
Addresses
Primary practice location
603 Beaman St
Suite 100
Clinton, NC 28328-2650
Mailing address
603 Beaman St
Suite 100
Clinton, NC 28328-2650
Phone (910) 590-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00178 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821209313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 BEAMAN ST",
"address_2": "SUITE 100",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282650",
"telephone_number": "910-590-0027",
"fax_number": "910-590-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BEAMAN ST",
"address_2": "SUITE 100",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282650",
"telephone_number": "910-590-0027",
"fax_number": "910-590-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBERT",
"middle_name": "T",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.