MRS. PEGGY KISER HARRIS (NPI# 1356363089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356363089 |
| Entity Type | Individual |
| Full Name | MRS. PEGGY KISER HARRIS |
| Credential | PA-C |
| Practice Address |
1614 Nc Highway 56 Creedmoor NC 27522-8297 |
| Mailing Address |
121 Marina Rd Bracey VA 23919-3203 |
| Practice Telephone | 9195287171 |
| Practice Fax Number | 9195288797 |
| Mailing Telephone | 4366365482 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
100789 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 100789 | LICENSE NUMBER | 01 |
| NC | DEA NUMBER | MC0139988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376660324 | Peggy Nell Harris | Specialist/Technologist | 9040 Padgett Rd, Pinson, AL 35126-2578 | 2007-03-23 |
| 1992173330 | Peggy L. Harris | Registered Nurse | 444 S Main St, Madisonville, KY 42431-2846 | 2015-09-02 |
| 1073753026 | Peggy Joyce Harris | Nurse Practitioner | 2523 E Garfield St, Suite B, Laramie, WY 82070-4989 | 2009-03-04 |
| 1639193493 | Peggy Harris | Internal Medicine | 232 E 30th St, New York, NY 10016-8202 | 2006-07-26 |
| Street Address |
1614 NC HIGHWAY 56 |
| City | CREEDMOOR |
| State | NC |
| Zip Code | 27522-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430854 | Granville Health System | Clinic/Center | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2005-07-08 |
| 1063025237 | Peyton Roberson Satterwhite | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2020-08-28 |
| 1184177297 | Mark Belligan | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2016-07-26 |
| 1417365685 | Kerry Hopson | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-07-31 |
| 1346660495 | Amy Jane Nayo | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-04-16 |
| 1245575539 | Tonya Fisher Pruitt | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-11-28 |
| 1013275916 | Elizabeth Beatrice Baltaro | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-04-27 |
| 1992938161 | Cornelius F. Cathcart, Pediatrics, Pa | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2009-09-03 |
| 1659544567 | Jennifer Leah Mahoney | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2008-04-11 |
| 1902828346 | Stephen Henry Begley | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1255794152 | Corey Coles | Family Medicine | 2503 E Lyon Station Rd # 2, Creedmoor, NC 27522 | 2016-03-30 |
| 1033473038 | Heather Thompson Currin | Counselor | 102 N Main Street, Creedmoor, NC 27522 | 2012-06-25 |
| 1639439664 | Tonya N Daniel | Lactation Consultant, Non-RN | 2695 Horseshoe Road, Creedmoor, NC 27522 | 2012-05-24 |
| 1992098776 | Syam Bandi | Pharmacist | 1560 High Way 56, Creedmoor, NC 27522 | 2011-05-26 |
| 1568698272 | Jane Carolyn Crowder | Counselor | 2651 Tar River Road, Creedmoor, NC 27522 | 2009-06-09 |
| 1316188550 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 612 N. Main St., Creedmoor, NC 27522 | 2009-03-18 |
| 1447388863 | Scott D. Mims | Counselor | 2150 Highway #56 East, Creedmoor, NC 27522 | 2007-02-28 |
| 1720120603 | Patricia Dillard Jones | Counselor | 2150 Hwy 56 E, Creedmoor, NC 27522 | 2007-02-13 |
| 1851458327 | Triangle Advanced Diagnostic Imaging. | Clinical Medical Laboratory | 122 West Church Street, Creedmoor, NC 27522 | 2007-01-03 |
| Find all providers in zip 27522 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
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| 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.