Carroll Martin Harris, SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

508 Fulton St
Durham, NC 27705-3875

Phone

(919) 286-0411

Fax

(919) 416-5894

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861420481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HILLSBOROUGH RD",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101230",
            "telephone_number": "919-967-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411",
            "fax_number": "919-416-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARROLL",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viteria Marie Harris-Jackson, MPH, RN
• Aniyah Symone Harris
• Briana Harris
• Brittany Shaquana Harris, RN
• Candace Brook Harris, LCSW
• Charles A Harris, CRNA
• Charles O. Harris, M.D.
• Chelsea Harris, MD, MBA
• Chinyere Emeka Harris, LCSWA
• Dylan Pride Harris

• Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Social Worker in North Carolina

• 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.

Verify at the official NPI Registry.