Excelsis Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EXCELSIS HEALTH

Practice address

2952 Firethorn Ave
Orange Park, FL 32073-1729

Phone

(352) 494-6055

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Dawn Harris, DNP, APRNNPI 1326668724

Title

Family Nurse Practitioner/Owner

Phone

(352) 494-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn L Harris, APRN, FNP-C

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1326668724
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1982424669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 ARGYLE FOREST BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446126",
            "telephone_number": "904-441-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 FIRETHORN AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731729",
            "telephone_number": "352-494-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "352-494-6055",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Anne Evans, LCSW
• Victoria Evans, PHARMD
• Denyce Evenson
• Kristen Everett, APRN
• Exalt Health Rehabilitation Hospital Orange Park, LLC
• Express Medical Experts, LLC
• Extension Home Care LLC
• Eyeglass World
• Mekal J Faciane, PA-C
• Tara Fagan, SLP

• Primary Care Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.