DR. TYRA CARTHENA HARRIS (NPI# 1477727543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477727543 |
| Entity Type | Individual |
| Full Name | DR. TYRA CARTHENA HARRIS |
| Credential | M.D. |
| Practice Address |
3886 Princeton Lakes Way Sw Suite 120 Atlanta GA 30331-5511 |
| Practice Telephone | 4043891234 |
| Practice Fax Number | 4043891114 |
| Mailing Telephone | 4043891234 |
| Mailing Fax Number | 4043891114 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 061249 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003104262A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2890 Delk Rd Se, Marietta, GA 300675326 | 7709558620 |
| Street Address |
3886 PRINCETON LAKES WAY SW SUITE 120 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710955141 | Felicia L Rhaney | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 160, Atlanta, GA 30331-5511 | 2006-03-10 |
| 1902259641 | Marcia Adelle Edwards | Midwife | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 | 2016-07-18 |
| 1538546064 | Chantel Karim-williams | Pharmacist | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2015-05-05 |
| 1316330772 | Trinity Pharmacy Enterprise II LLC | Pharmacist | 3886 Princeton Lakes Way Sw, 180, Atlanta, GA 30331-5511 | 2015-03-10 |
| 1639584378 | Southern Pain Institute, PC | Specialist | 3886 Princeton Lakes Way Sw, Ste 240, Atlanta, GA 30331-5511 | 2014-06-20 |
| 1730430802 | Nsh Cancer Institute Professional Service G LLC | Durable Medical Equipment & Medical Supplies | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2012-09-28 |
| 1316210156 | Prestige Healthcare Atlanta, LLC | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 280, Atlanta, GA 30331-5511 | 2012-02-09 |
| 1104197797 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 160, Atlanta, GA 30331-5511 | 2012-01-13 |
| 1013215938 | Georgia Cancer Specialists I, PC | Internal Medicine | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2011-03-01 |
| 1467757492 | Head-to-toe Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3886 Princeton Lakes Way Sw, Suite 140-b, Atlanta, GA 30331-5511 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| Find all providers in ATLANTA | ||||
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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.