Individual provider Active NPI

Darien Harris, PA

  • Physician Assistant
  • Ridgeway, SC
National Provider Identifier
1992403521
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4735 Issued in SC
Practice address
755 US Highway 21 S
Ridgeway, SC 29130-6844
Phone
(803) 337-2920
Fax
(803) 337-3010
NPI assigned
Feb 22, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4735 SC Primary

Addresses

Primary practice location

755 US Highway 21 S
Ridgeway, SC 29130-6844

Mailing address

169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone (803) 733-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328000201 SC Practitioner - Physician Assistant 6608240924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

407 N Brown St
West Columbia, SC 29169-5710
Phone (803) 995-8936

4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266

4605 Monticello Rd B
Columbia, SC 29203-4156
Phone (803) 714-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4735SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Mar 13, 2023 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Past Accepting new patients

Locations

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

755 US Highway 21 S
Ridgeway, SC 29130
Phone (803) 337-2920

407 N Brown St
West Columbia, SC 29169
Phone (803) 722-1352

Interoperability endpoints

  • Direct secure messaging: darien.harris.1@10781.direct.athenahealth.com

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, 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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992403521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969",
            "fax_number": "803-753-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 US HIGHWAY 21 S",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291306844",
            "telephone_number": "803-337-2920",
            "fax_number": "803-337-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DARIEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeway, SC

Sources for this page

Verify at the official NPI Registry.