CORLISS HARRIS


Address: 142 Oak Dr Sw, Atlanta, GA 30354-2650
Phone: 4048952242

CORLISS HARRIS (NPI# 1578195822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578195822
Entity Type Individual
Full Name CORLISS HARRIS
Practice Address 142 Oak Dr Sw
Atlanta
GA 30354-2650
Practice Telephone 4048952242
Mailing Telephone 4048952242
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEPARTMENT OF VA 000000 01

Office Location

Street Address 142 OAK DR SW
City ATLANTA
State GA
Zip Code 30354-2650

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700426996 A Touch of Love Personal Care & Consulting In Home Supportive Care 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 2020-01-15
1952887168 Walking In Purpose Inc. Counselor 3504 Eisenhower Cir Se, Atlanta, GA 30354 2018-07-11
1699193987 Airport Spinal Injury Clinic/Center 809 North Central Ave, Hapeville, GA 30354 2014-04-03
1801234885 Allergy Specialists of Georgia Internal Medicine 438 Henry Ford, Atlanta, GA 30354 2013-06-12
1851442867 Harandi, Harandi, Spelios and Associates Hapeville LLC Point of Service 785 Virginia Ave, Suite A, Hapeville, GA 30354 2007-01-16
1013068782 Ali Harandifassih Dentist 785 Virginia Avenue, Suite A, Hapeville, GA 30354 2007-01-16
1336207349 Catherine Clayton Harper Registered Nurse 3444 Claire Dr, Hopeville, GA 30354 2006-12-04
1649346099 Katherine Lee Gill Registered Nurse 3444 Claire Drive, Hapeville, GA 30354 2006-11-28
1407865108 Occupational Health Centers of Georgia PC Clinic/Center 3580 Atlanta Avenue, Hapeville, GA 30354 2006-08-05
1063488633 Anthony Keith Taylor Physician Assistant 791 Oak Street, Hapeville, GA 30354 2006-02-24
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073158952 Sandra Kemp Technician 2900 Camp Creek Pkwy Apt P1, Atlanta, GA 30337-3019 2019-11-14
1710538772 Yolanda A Nicholas Technician 2323 Piedmont Rd Ne, Atlanta, GA 30324-3457 2019-09-21
1093365991 Senka Colo Technician 3450 Miller Dr, Atlanta, GA 30341-2726 2019-09-13
1740837707 Erma Smith Technician 101 Burre Ln Sw, Atlanta, GA 30331-3905 2019-08-23
1003447426 Kimberly Hayes Technician 2900 Camp Creek Pkwy, Atlanta, GA 30337-3000 2020-02-04

Providers in the same taxonomy and state

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
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Competitor

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City ATLANTA
Zip Code 30354

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Dataset Information

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.

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