Charles Daniel Harris, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5009937 Issued in NC

Practice address

935 State Farm Rd
Boone, NC 28607-4948

Phone

(828) 262-3886

Fax

(828) 265-4816

NPI assigned

Feb 19, 2015

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Country Community HealthGroup PAC ID 8628225190, shared by 10 NPIs, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Boone, NC, CCN 347225
• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

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.

• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Newland, NC
  • NPI 1083979082

  Family Medicine

  Medicare reassignment NPD
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Boone, NC
  • NPI 1750646741

  Family Medicine

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  NC, Nurse Practitioner

  Medicare reassignment NPD
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Mount Airy, NC
  • NPI 1629942115
  NPD
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Morganton, NC
  • NPI 1780127431
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Care Resources, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Boone, NC
  • NPI 1548602790
  Care Compare affiliation
• Watauga Medical Center Inc

  dba Watauga Medical Center

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1831581404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074948",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 E Sevier Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604912",
            "country_code": "US",
            "telephone_number": "423-246-7922",
            "fax_number": "423-246-4248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-2061",
            "fax_number": "888-232-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "fax_number": "828-264-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "fax_number": "828-737-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Dutchman Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212237",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009937",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19862",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "180273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Cooke Harmon, PT
• Kristin Willis Harmon, LCSW
• Helene Harper, MD
• Lauren Ashley Harrelson, MSW, LCSWA
• Jennifer Lynn Harris-Barker, FNP
• Timothy Brett Harris, PHD CCCSLP
• William Harrison, OD
• Carolyn Elizabeth Hart, MD
• Mark R Harter, MD
• Addie Hartley, LCSWA, LCASA

• Nurse Practitioner in Boone, NC
• Providers in Boone, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.