Sarita Nikki Harris-Hackett

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN192201 Issued in GA

Practice address

1102 Thornton Rd Ste C
Lithia Springs, GA 30122-2688

Phone

(770) 927-7341

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1851868624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 S SKYLINE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353951",
            "telephone_number": "404-789-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 THORNTON RD STE C",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222688",
            "telephone_number": "770-927-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-HACKETT",
        "first_name": "SARITA",
        "middle_name": "NIKKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN192201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Guerrier
• Jennifer Haines-Pruitt, LPC
• Amanda Gail Hall, OTR/L
• Chamyce Hall
• Tameka Hall
• Antonia Maisha Harris, FNP-C
• Dadron Deon Harris, PHD
• Diana C Harris, LPC, CPCS
• Keisha Renee Hart
• Vanessa Levet Hayes, CNA

• Family Medicine Physician in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.