DR. JACQUELINE D HARRIS (NPI# 1073771762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073771762 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE D HARRIS |
| Other Name | JACQUELINE DENISE HILL |
| Credential | MD |
| Practice Address |
815 Weldon Rd Palmetto GA 30268-1667 |
| Practice Telephone | 6785931900 |
| Practice Fax Number | 6785931920 |
| Mailing Telephone | 6785931900 |
| Mailing Fax Number | 6785931920 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2010-01838 | NC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 63934 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1205116589 | Jacqueline Renee Harris | Occupational Therapy Assistant | 7887 N 16th St, Unit #125, Phoenix, AZ 85020-4417 | 2011-08-18 |
| 1376777094 | Jacqueline Rae Harris | Speech-Language Pathologist | 12441 Highway 26, Riverton, WY 82501-9256 | 2009-05-09 |
| 1740429273 | Jacqueline Denise Harris | Licensed Practical Nurse | 8257 N 51st St, Brown Deer, WI 53223-3512 | 2009-02-06 |
| 1417143231 | Jacqueline Ann Harris | Psychiatry & Neurology | 33 Baldwin Rd, Newtown, CT 06470-2003 | 2007-09-16 |
| 1447453220 | Jacqueline Harris | Student in an Organized Health Care Education/Training Program | 11638 Danforth Dr, Sterling Heights, MI 48312-2124 | 2007-06-07 |
| 1700893518 | Jacqueline E Harris | Specialist | 107 Seagrass Station Road, Bluffton, SC 29910-3110 | 2006-08-02 |
| 1962485813 | Jacqueline K Harris | Nurse Practitioner | 101 W Washington St, Montezuma, IA 50171-7739 | 2005-11-23 |
| 1649730565 | Jacqueline Elizabeth Harris | Student in an Organized Health Care Education/Training Program | 2233 Post St, San Francisco, CA 94115-3470 | 2019-03-25 |
| 1366926917 | Jacqueline Harris | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2018-09-19 |
| Street Address |
815 WELDON RD |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| Find all providers in zip 30268 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318840 | Palmetto Primary Care Associates, LLC | Family Medicine | 1003 17th St W, Palmetto, FL 34221-3021 | 2019-10-21 |
| 1326465410 | Allcare Options LLC | Family Medicine | 700 8th Ave W, Suite 101, Palmetto, FL 34221-4737 | 2014-03-26 |
| 1669668273 | Diamond Family Medicine Pllc Donita Kay Diamond Sole Mbr | Family Medicine | 102 Riviera Dunes Way, Palmetto, FL 34221 | 2007-09-18 |
| 1104968783 | Kevin Brian Fox | Family Medicine | 9490 Highway 10, Palmetto, LA 71358-0219 | 2007-02-12 |
| 1851369052 | Steven Lewis Greenfield | Family Medicine | 404 7th St W, Palmetto, FL 34221-5209 | 2006-03-14 |
| 1366416190 | Coleen Ann Ellis | Family Medicine | 1120 10th St E, Palmetto, FL 34221-4134 | 2006-02-16 |
| 1194722983 | James A Briles | Family Medicine | 606 4th Ave W, Palmetto, FL 34221-5226 | 2005-07-07 |
| 1558368423 | Raymond L Raitz | Family Medicine | 506 4th Ave W, Palmetto, FL 34221-5203 | 2005-07-06 |
| 1740823582 | Mcr Health, Inc. | Family Medicine | 700 8th Ave W Ste 101, Palmetto, FL 34221-4737 | 2019-10-24 |
| 1215323100 | Rosanna Elena Ianiro | Family Medicine | 606 4th Ave W, Palmetto, FL 34221-5226 | 2015-04-08 |
| Find all providers in PALMETTO | ||||
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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.