JEREL KEITH HARRIS (NPI# 1750843876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750843876 |
| Entity Type | Individual |
| Full Name | JEREL KEITH HARRIS |
| Credential | NP-C |
| Practice Address |
6687 Skipper Rd Apt 115 Macon GA 31216-6456 |
| Practice Telephone | 4782932049 |
| Mailing Telephone | 4782932049 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN165803 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6687 SKIPPER RD APT 115 |
| City | MACON |
| State | GA |
| Zip Code | 31216-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316451511 | Chelsea Rizkalla | Nurse Practitioner | 890 2nd St Ste 201, Macon, GA 31201-6863 | 2017-11-27 |
| 1528686003 | Jonathan Michael Clopton | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-10 |
| 1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
| 1730729799 | Laura Julie Caraway | Nurse Practitioner | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2020-01-08 |
| 1114586815 | Taylor Caldwell Screws | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2019-06-07 |
| 1104303171 | Jo Ann Marie Blythe | Nurse Practitioner | 458 Hemlock St Ste 200, Macon, GA 31201-4200 | 2018-07-23 |
| 1124504105 | Jami Beaver | Nurse Practitioner | 1062 Forsyth St Ste 1b, Macon, GA 31201-8638 | 2018-07-13 |
| 1124516661 | Jared Cooper | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-04-30 |
| 1902303993 | Russell James Dunn | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-04-06 |
| 1316455751 | Cessalee Ann Swars | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-01-19 |
| Find all providers in MACON | ||||
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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.