Active NPI
James Kristin Harley, D.O.
- Surgery Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2013-02504
- Practice address
- 2555 Court Dr
Suite 450
Gastonia, NC 28054-2134 - Phone
- (704) 671-7652
- Fax
- (704) 671-7656
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TL1652 | SC | |
| Surgical Critical Care Physician | 2086S0102X | TL1652 | SC | |
| Surgery Physician | 208600000X | 2013-02504 | NC | Primary |
Addresses
Primary practice location
2555 Court Dr
Suite 450
Gastonia, NC 28054-2134
Mailing address
2555 Court Dr
Suite 450
Gastonia, NC 28054-2134
Phone (704) 671-7652
Other names 1
- Dr. Kris Harley
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799
Hospital & facility affiliations
- Caromont Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02504 | NC | MD | Surgery Physician |
| TL1652 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Surgery | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Surgery | Current | Accepting new patients |
| Doctorsnow Walk-in Care, L.C. | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Surgery Physician
- Gastonia, NC
- NPI 1972747053
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- Altoona, IA
- NPI 1649394503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1972790640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 450",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-671-7652",
"fax_number": "704-671-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 450",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-671-7652",
"fax_number": "704-671-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "JAMES",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "TL1652",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "SC",
"license": "TL1652",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2013-02504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "HARLEY",
"prefix": "DR.",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.