SHIRLEY R HARRIS (NPI# 1518598929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518598929 |
| Entity Type | Individual |
| Full Name | SHIRLEY R HARRIS |
| Practice Address |
1222 Luke Station Rd Blakely GA 39823-6010 |
| Practice Telephone | 2293080598 |
| Mailing Telephone | 2293080598 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750765178 | Shirley Harris | Driver | 511 S. Dixie Street, Parma, MO 63870-0411 | 2015-07-15 |
| 1841511474 | Shirley Jeanetta Harris | Home Health Aide | 1740 Christian Cir Se, Conyers, GA 30013-5234 | 2010-06-17 |
| 1043462062 | Shirley Harris | Physical Therapy Assistant | 324 Skyridge Dr, Fairbanks, AK 99712-1205 | 2008-10-22 |
| 1013062645 | Shirley Marie Harris | Social Worker | 8600 Shore Front Pkwy Apt 2p, Rockaway Beach, NY 11693-2202 | 2007-01-24 |
| 1417027277 | Shirley Ann Harris | Internal Medicine | 3292 Mountain Dr, Suite A, Decatur, GA 30032-1102 | 2006-11-09 |
| 1659867034 | Shirley T Harris | Case Manager/Care Coordinator | 2411 Seaman St, Toledo, OH 43605-1519 | 2018-07-09 |
| 1316301328 | Shirley Ann Harris | Social Worker | 12750 Dartmouth St, Oak Park, MI 48237-1624 | 2016-04-06 |
| 1710389804 | Shirley Ann Harris | Psychologist | 2700 Robert T Longway Blvd, Suitec, Flint, MI 48503-2190 | 2014-09-19 |
| 1487618393 | Shirley Denise Harris | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2006-04-17 |
| Street Address |
1222 LUKE STATION RD |
| City | BLAKELY |
| State | GA |
| Zip Code | 39823-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
| 1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
| 1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
| 1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
| 1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
| 1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
| 1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
| 1649753773 | Kelly Diane Mccarley | Nurse Practitioner | 1908 Tarver Dr, Blakely, GA 39823-1540 | 2018-09-14 |
| 1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
| 1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
| Find all providers in zip 39823 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.