Individual provider Active NPI

Jennifer Anne Harris, NP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1952694416
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012268 Issued in DE
Practice address
1150 Pin Oak CT
Cumming, GA 30041-8093
Phone
(770) 315-2207
NPI assigned
May 17, 2011
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 833315 NV
Nurse Practitioner 363L00000X 202206822NP-PP OR
Nurse Practitioner 363L00000X C158544 IA
Nurse Practitioner 363L00000X 112486 WV
Nurse Practitioner 363L00000X 0024179946 VA
Nurse Practitioner 363L00000X NP500001914 DC
Nurse Practitioner 363L00000X 905538 MS
Nurse Practitioner 363L00000X 245796 AZ
Nurse Practitioner 363L00000X C-APN.0001847-C-NP CO
Nurse Practitioner 363L00000X 101.0136127 VT
Nurse Practitioner 363L00000X RN188328 GA
Nurse Practitioner 363L00000X AC003313 MD
Nurse Practitioner 363L00000X 50133 WY
Nurse Practitioner 363L00000X APRN11006906 FL
Family Nurse Practitioner 363LF0000X LG-0012268 DE Primary

Addresses

Primary practice location

1150 Pin Oak CT
Cumming, GA 30041-8093

Mailing address

1150 Pin Oak CT
Cumming, GA 30041-8093
Phone (770) 315-2207

Other practice location 1

8961 Metcalf Ave Apt 271
Overland Park, KS 66212-1572
Phone (770) 315-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
245796AZMDNurse Practitioner
C-APN.0001847-C-NPCOMDNurse Practitioner
NP500001914DCMDNurse Practitioner
APRN11006906FLMDNurse Practitioner
RN188328GAMDNurse Practitioner
C158544IAMDNurse Practitioner
AC003313MDMDNurse Practitioner
905538MSMDNurse Practitioner
833315NVMDNurse Practitioner
202206822NP-PPORMDNurse Practitioner
0024179946VAMDNurse Practitioner
101.0136127VTMDNurse Practitioner
112486WVMDNurse Practitioner
50133WYMDNurse Practitioner
LG-0012268DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forwardflowhealth CurrentSince Dec 7, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.harris.2@28492.direct.athenahealth.com
  • Direct secure messaging: jennifer.harris@202362935902212.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1952694416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PIN OAK CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418093",
            "telephone_number": "770-315-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PIN OAK CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418093",
            "telephone_number": "770-315-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8961 Metcalf Ave Apt 271",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121572",
            "country_code": "US",
            "telephone_number": "770-315-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "833315",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202206822NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "C158544",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "112486",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179946",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500001914",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905538",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "245796",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0001847-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0136127",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN188328",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003313",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "50133",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006906",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.