Individual provider Active NPI

Dartagnan Lee Harris, PA-C

  • Medical Physician Assistant
  • Anderson, SC
National Provider Identifier
1851287122
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6007 Issued in SC
Practice address
1409 N Fant St
Anderson, SC 29621-4825
Phone
(864) 231-8599
NPI assigned
Jun 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 6007 SC Primary

Addresses

Primary practice location

1409 N Fant St
Anderson, SC 29621-4825

Mailing address

1409 N Fant St
Anderson, SC 29621-4825
Phone (864) 231-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20260305003762 SC Practitioner - Physician Assistant 6608358874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Skin and SurgeryGroup PAC ID 0941244065, 4 clinicians

Practice addresses (Care Compare)

1409 N Fant St
Anderson, SC 29621-4825
Phone (864) 231-8599

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6007SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Skin & Surgery Single Specialty CurrentSince Jan 31, 2026 Accepting new patients
Paragon Skin & Surgery, PA PastSince Jun 15, 2025 Accepting new patients

Locations

1409 N Fant St
Anderson, SC 29621
Phone (864) 231-8599

Interoperability endpoints

  • Direct secure messaging: dartagnanharris@paragon.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1851287122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214825",
            "telephone_number": "864-231-8599",
            "fax_number": "864-231-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214825",
            "telephone_number": "864-231-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DARTAGNAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.