Individual provider Active NPI

Paige C Harris, CRNP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1992957575
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
01-097607 Issued in AL
Practice address
1722 Pine St Ste 700
Montgomery, AL 36106-1125
Phone
(334) 834-1300
Fax
(334) 834-8347
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 01-097607 AL Primary

Addresses

Primary practice location

1722 Pine St Ste 700
Montgomery, AL 36106-1125

Mailing address

1722 Pine St Ste 700
Montgomery, AL 36106-1125
Phone (334) 834-1300

Other identifiers 1

IdentifierTypeStateIssuer
01-097607OtherALNURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paige@neurologyconsultantsmgm.providersdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090121000419 AL Practitioner - Nurse Practitioner 4587728498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Montgomery, PCGroup PAC ID 6507849122, 5 clinicians

Practice addresses (Care Compare)

4154 Carmichael
Montgomery, AL 36106-1125
Phone (334) 834-1300

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Troy, AL, CCN 017324

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
64.9
Promoting interoperability
84
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
01-097607ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton Family Care, LLC CurrentSince Nov 1, 2016 Accepting new patients
Neurology Consultants of Montgomery, PC CurrentSince Jun 1, 2017 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Mar 21, 2017 Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

1722 Pine St
Ste 700
Montgomery, AL 36106

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1992957575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 700",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061125",
            "telephone_number": "334-834-1300",
            "fax_number": "334-834-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 700",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061125",
            "telephone_number": "334-834-1300",
            "fax_number": "334-834-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAIGE",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "01-097607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "01-097607",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paige@neurologyconsultantsmgm.providersdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1722 Pine St Ste 700",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361061125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.