DR. JERRY WAYNE HARRIS (NPI# 1013953876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013953876 |
| Entity Type | Individual |
| Full Name | DR. JERRY WAYNE HARRIS |
| Credential | DPM |
| Practice Address |
5323 Fox Cove Ln U Greensboro NC 27407-5961 |
| Mailing Address |
Po Box 39721 Greensboro NC 27438-9721 |
| Practice Telephone | 3366383700 |
| Mailing Telephone | 3366383700 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 326 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890808E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203168 | Jerry Harris | Physical Therapy Assistant | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-06 |
| 1144871187 | Jerry Harris | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2019-09-20 |
| 1124170378 | Jerry Steven Harris | Marriage & Family Therapist | 3000 Auburn Blvd, Suite A, Sacramento, CA 95821-1831 | 2007-01-17 |
| 1265402044 | Jerry L. Harris | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-01-25 |
| Street Address |
5323 FOX COVE LN U |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-5961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528382736 | Alison Adams Durham | Podiatrist | 1852 Banking St, #9043, Greensboro, NC 27408-7222 | 2010-03-16 |
| 1487750980 | Jeffrey A Petrinitz | Podiatrist | 2706 Saint Jude St, Greensboro, NC 27405-3670 | 2006-09-15 |
| 1831294560 | Norman Scott Regal | Podiatrist | 2706 St Jude St, The Triad Foot Center Pa, Greensboro, NC 27405 | 2006-09-14 |
| 1417063017 | James G Crawford | Podiatrist | 107 N Murrow Blvd, Ste 101, Greensboro, NC 27401-2958 | 2006-08-23 |
| 1417972712 | Irwin Allen Lewis | Podiatrist | 117 Berkshire St, Greensboro, NC 27403-1434 | 2006-07-13 |
| 1881633188 | James Grover Crawford | Podiatrist | 709 E Market St, Ste 106, Greensboro, NC 27401-3265 | 2006-06-05 |
| 1487610259 | Jennifer Lee Galaway | Podiatrist | 2001 N Church St, Greensboro, NC 27405 | 2006-04-21 |
| 1861462293 | Gregory A Mayer | Podiatrist | 2014c New Garden Road, Greensboro, NC 27410-2522 | 2006-01-26 |
| 1134570773 | Kevin Patel | Podiatrist | 2001 N Church St, Greensboro, NC 27405-5633 | 2016-06-24 |
| 1639553936 | Lake Oconee Foot and Ankle LLC | Podiatrist | 1031 Village Park Dr, Suite 103, Greensboro, GA 30642-3755 | 2015-07-16 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on DR. JERRY WAYNE HARRIS.
| 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.