Anthony Harris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008809 Issued in NC

Practice address

1440 Devon Dr
Grimesland, NC 27837-9245

Phone

(252) 414-9776

Fax

(252) 329-9788

NPI assigned

May 1, 2015

Last updated

Oct 10, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

A Fresh Start Behavioral Health Services, PLLCGroup PAC ID 9931466646, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• A Fresh Start Behavioral Health Services, PLLC

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1710499223
  Medicare reassignment Care Compare group NPD Authorized official
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392

  Clinical

  Medicare reassignment Care Compare group NPD
• Imperial Counseling & Coaching Services, LLC

  • Clinical Social Worker
  • 27834, NC
  • NPI 1952110561
  NPD Authorized official

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1902283633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1992",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278351992",
            "telephone_number": "252-414-9776",
            "fax_number": "252-329-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DEVON DR",
            "city": "GRIMESLAND",
            "state": "NC",
            "postal_code": "278379245",
            "telephone_number": "252-414-9776",
            "fax_number": "252-329-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael NA Daniels, LCAS LCSW CCS
• Jocelyn Bayles Dixon
• Carrie B Dudley
• Kimberly Dawn Ennis, LCSW
• Latonya Harris Grimes, MSW, LCSW
• George Brian Harris, LCAS-A, LPCA
• Haven at Blue Creek LLC
• Chris Carpenter Horn, MA, BCBA, LBA
• Shalana Keel, MSN, RN, APRN, PMHNP
• Jamie Lassiter, M.S.CCC-SLP

• Clinical Social Worker in Grimesland, NC
• Providers in Grimesland, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.