Individual provider Active NPI

Victoria Lynn Harris, PA-C

  • Medical Physician Assistant
  • Zebulon, NC
National Provider Identifier
1871647412
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101634 Issued in NC
Practice address
1260 N Arendell Ave
Zebulon, NC 27597-8730
Phone
(919) 235-1965
NPI assigned
Jan 22, 2007
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101634 NC
Medical Physician Assistant 363AM0700X 101634 NC Primary

Addresses

Primary practice location

1260 N Arendell Ave
Zebulon, NC 27597-8730

Mailing address

PO Box 803854
Kansas City, MO 64180-3854
Phone (919) 350-0351

Other practice location 1

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other identifiers 1

IdentifierTypeStateIssuer
1871647412MedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090501000516 NC Practitioner - Physician Assistant 1658429527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, 32 clinicians
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

1260 N Arendell Ave
Zebulon, NC 27597-8730
Phone (919) 235-1965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101634NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Sep 11, 2023 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 8, 2025 Accepting new patients
Advance Community Health, Inc CurrentSince Sep 11, 2023 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince Dec 15, 2025 Accepting new patients
Wake Specialty Physicians, LLC CurrentSince Dec 15, 2025 Accepting new patients
Wake Specialty Physicians LLC PastSince May 16, 2021 Accepting new patients
Wake Specialty Physicians LLC PastSince May 7, 2024 Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Wake Specialty Physicians LLC PastSince Jul 24, 2022 Accepting new patients
Advance Community Health, Inc Past Accepting new patients
Wake Specialty Physicians LLC PastSince Jul 24, 2022 Accepting new patients
Wake Specialty Phisicians, LLC PastSince Jun 30, 2024 Accepting new patients
Wake Specialty Physicians LLC PastSince Jan 21, 2024 Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

237 S Estes Dr
Chapel Hill, NC 27514
Phone (919) 235-1520

126 Pritchard Rd
Clayton, NC 27527
Phone (919) 235-1036

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939

815 Springfield Commons Dr
Raleigh, NC 27609
Phone (919) 235-1400

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525

2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155

1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1871647412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803854",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803854",
            "telephone_number": "919-350-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978730",
            "telephone_number": "919-235-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101634",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871647412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

Verify at the official NPI Registry.