DR. JESSICA HARRIS (NPI# 1518432277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518432277 |
| Entity Type | Individual |
| Full Name | DR. JESSICA HARRIS |
| Credential | DC |
| Practice Address |
4073 Lavista Rd Ste 371 Tucker GA 30084-5221 |
| Mailing Address |
2200 Parklake Dr Ne Apt 1324 Atlanta GA 30345-2882 |
| Practice Telephone | 7703765784 |
| Practice Fax Number | 7703765789 |
| Mailing Telephone | 2147258378 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR010117 | GA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5328 Cumberland Way, Stone Mountain, GA 30087 | 7703765784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1235602822 | Jessica Dawn Harris | Social Worker | 5885 S Bob White Dr, Kimball, MI 48074-4619 | 2019-01-07 |
| 1497242564 | Jessica Harris | Specialist/Technologist | 2962 Woodcrest Dr, Panama City, FL 32405-2033 | 2018-04-15 |
| 1801391149 | Jessica L Harris | Licensed Vocational Nurse | 14 Bayberry Ct, Wichita Falls, TX 76310-3423 | 2018-03-28 |
| 1629589395 | Jessica Harris | Counselor | 13602 Colgate Way Apt 648, Silver Spring, MD 20904-7218 | 2017-10-20 |
| 1518488238 | Jessica Faye Harris | Marriage & Family Therapist | 2001 S Barrington Ave Ste 117, Los Angeles, CA 90025-5337 | 2017-07-03 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| 1336543024 | Jessica Harris | Physical Therapy Assistant | 1624 Corinthian Dr, Apt 1815, Florence, KY 41042-8879 | 2014-10-09 |
| 1396018370 | Jessica N Harris | Counselor | 380 Akolea Rd, Hilo, HI 96720-1522 | 2012-02-21 |
| 1245486182 | Jessica Boberg Harris | Specialist/Technologist | 910 S Winterhawk Dr Unit 101, St Augustine, FL 32086-3870 | 2008-08-12 |
| Street Address |
4073 LAVISTA RD STE 371 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331273 | Quentre Shannon | Chiropractor | 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | 2018-10-09 |
| 1881169456 | Legacy Chiropractic LLC | Chiropractor | 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215246434 | Betty Smith-weldon | Chiropractor | 2088 Idlewood Rd Ste 6, Tucker, GA 30084-6264 | 2010-10-05 |
| 1558679332 | Atlanta Accident & Injury Specialist | Chiropractor | 2181 Northlake Pkwy. Suite 120 Bldg 6, Tucker, GA 30084 | 2010-09-15 |
| 1245419274 | Complete Spine Solutions, PC | Chiropractor | 2347 Brockett Rd, Tucker, GA 30084-4474 | 2007-10-26 |
| 1669510178 | David Adam Shapiro | Chiropractor | 2347 Brockett Road, Tucker, GA 30084 | 2007-02-05 |
| 1255438834 | Joel Edward Margolies | Chiropractor | 4910 Lavista Rd, Tucker, GA 30084-4403 | 2006-09-17 |
| 1366461634 | Karl M Schwartz | Chiropractor | 4985 Lavista Rd, Suite 3, Tucker, GA 30084-4470 | 2006-07-18 |
| 1891741211 | Lisa K White | Chiropractor | 2370 Main St, Tucker, GA 30084-4456 | 2006-05-26 |
| 1902419666 | Andrew Connor Nichols | Chiropractor | 2347 Brockett Rd, Tucker, GA 30084-4474 | 2020-08-24 |
| 1295343838 | Lorenil Hencock | Chiropractor | 4880 Lawrenceville Hwy, Tucker, GA 30084-2938 | 2020-07-20 |
| 1275098527 | Caleb Elijah Keran | Chiropractor | 2347 Brockett Rd, Tucker, GA 30084-4474 | 2019-01-31 |
| Find all providers in TUCKER | ||||
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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.