JEFFREY G HARRISON (NPI# 1205825601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205825601 |
| Entity Type | Individual |
| Full Name | JEFFREY G HARRISON |
| Credential | PA-C |
| Practice Address |
201 N Breazeale Ave Mount Olive NC 28365-1603 |
| Practice Telephone | 9196584954 |
| Practice Fax Number | 9195814966 |
| Mailing Telephone | 9196584954 |
| Mailing Fax Number | 9195814966 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102551 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 102680 | MEDICAL LICENSE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237797 | Jeffrey Clinton Harrison | Physical Therapist | 3230 S 27th St, Abilene, TX 79605-6222 | 2008-06-04 |
| 1114027802 | Jeffrey Harrison | Chiropractor | 706 S Kingshighway St, Sikeston, MO 63801-5918 | 2006-09-23 |
| 1306820337 | Jeffrey Dean Harrison | Chiropractor | 2151 Military St S, Hamilton, AL 35570-6651 | 2005-12-02 |
| 1134125677 | Jeffrey J Harrison | Dentist | 1495 Pine Grove Rd Ste 101a, Steamboat Springs, CO 80487 | 2005-06-21 |
| 1982918405 | Jeffrey Blue Harrison | Pharmacist | 6000 West Ave, San Antonio, TX 78213-2714 | 2010-07-27 |
| 1306027719 | Jeffrey Matthew Harrison | Acupuncturist | 1449 Lyon St, San Francisco, CA 94115-2914 | 2007-11-14 |
| 1285842484 | Jeffrey B Harrison | Psychologist | 115 Main St, Flemington, NJ 08822-1615 | 2007-05-19 |
| 1851517841 | Jeffrey A. Harrison | Dentist | 258 Washington St, Wellesley, MA 02481-4964 | 2007-04-18 |
| 1770670242 | Jeffrey D Harrison | Orthopaedic Surgery | 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 | 2006-10-06 |
| 1558302034 | Jeffrey Harrison | Anesthesiology | 2475 Saint Raymonds Ave, Anesthesia Department, Bronx, NY 10461-3124 | 2006-06-08 |
| Street Address |
201 N BREAZEALE AVE |
| City | MOUNT OLIVE |
| State | NC |
| Zip Code | 28365-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780071209 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2015-04-22 |
| 1700103512 | Kimberly A Schnurbusch | Nurse Practitioner | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2010-05-03 |
| 1639491038 | Mt. Olive Family Medicine Center | Non-Pharmacy Dispensing Site | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2010-02-26 |
| 1265531339 | Sufia Siddique | Family Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-09-22 |
| 1427074616 | Humayun Kadir | Family Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-07-14 |
| 1467481762 | Mt Olive Family Medicine Center Inc | Family Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-07-01 |
| 1609820463 | Vincent Paul Wilson | Family Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-05-19 |
| 1942277926 | Hervy Basil Kornegay | Family Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-03-08 |
| 1023085016 | Alma Faye Jenkins | Internal Medicine | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-03-08 |
| 1265409254 | Peggie Rose Parks | Physician Assistant | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1740836485 | Brittany Leigh Spence | Nurse Practitioner | 325 Nc-55 West, Mt Olive, NC 28365 | 2019-08-16 |
| 1265859847 | Lisa B Ezzell-weeks | Pharmacist | 308 Nc 55 West, Mount Olive, NC 28365 | 2014-03-21 |
| 1962844720 | Terry Louise Price | Counselor | 110 Sw Center Street, Mount Olive, NC 28365 | 2013-07-22 |
| 1396089173 | Karen Lane | Physical Therapy Assistant | 2221 Nc 55 Eas5t, Mount Olive, NC 28365 | 2012-11-19 |
| 1760726475 | Sundance | Skilled Nursing Facility | 228 Smith Chapel Road, Mount Olive, NC 28365 | 2012-11-19 |
| 1356633531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 N Breazeale Ave, Mount Olive, NC 28365 | 2011-05-06 |
| 1780995175 | Darren Edward Stevens | Pharmacist | 308 Nc 55w, Mount Olive, NC 28365 | 2010-06-30 |
| 1760719348 | Hana Kim | Physician Assistant | 325 Nc Highway 55 West, Mount Olive, NC 28365 | 2009-11-03 |
| 1376684696 | Michelle E Honeycutt | Speech-Language Pathologist | 429 Hwy E, Mt Olive, NC 28365 | 2007-02-09 |
| Find all providers in zip 28365 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719348 | Hana Kim | Physician Assistant | 325 Nc Highway 55 West, Mount Olive, NC 28365 | 2009-11-03 |
| 1174674907 | Darrell Ziroli | Physician Assistant | 695 Powers Cir, Mount Olive, AL 35117-3243 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT OLIVE |
| Zip Code | 28365 |
Please comment or provide details below to improve the information on JEFFREY G HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.