Individual provider Active NPI

Jasmine Harris, MD

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1922685502
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0104603 Issued in MD
Practice address
200 Harry S Truman Pkwy Ste 400
Annapolis, MD 21401-7397
Phone
(410) 897-0272
Fax
(410) 897-1968
NPI assigned
Mar 28, 2021
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0104603 MD Primary

Addresses

Primary practice location

200 Harry S Truman Pkwy Ste 400
Annapolis, MD 21401-7397

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (410) 897-0272

Other practice location 1

174 Waterfront St Ste 200
National Harbor, MD 20745-1164
Phone (240) 493-8447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250825002205 MD Practitioner - Dermatology 1850708934 Reassigns benefits to 1 organization
I20250825002733 DC Practitioner - Dermatology 1850708934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

174 Waterfront St
Suite 200
Oxon Hill, MD 20745-1164
Phone (240) 493-8447

200 Harry S Truman Pkwy
Suite 400
Annapolis, MD 21401-7397
Phone (410) 897-0272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions36
Skin biopsy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 1, 2025 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

200 Harry S Truman Pkwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-0272

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

174 Waterfront St
Ste 200
Oxon Hill, MD 20745
Phone (240) 493-8447

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1922685502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "410-897-0272",
            "fax_number": "410-897-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRY S TRUMAN PKWY STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017397",
            "telephone_number": "410-897-0272",
            "fax_number": "410-897-1968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Waterfront St Ste 200",
            "address_purpose": "LOCATION",
            "city": "National Harbor",
            "state": "MD",
            "postal_code": "207451164",
            "country_code": "US",
            "telephone_number": "240-493-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JASMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0104603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.