DR. ASHLEY WAYNE HARRIS (NPI# 1104076645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104076645 |
| Entity Type | Individual |
| Full Name | DR. ASHLEY WAYNE HARRIS |
| Credential | M.D. |
| Practice Address |
845 S Madison St Tupelo MS 38801-4905 |
| Practice Telephone | 6623775930 |
| Mailing Telephone | 6623775930 |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
242928 | MA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
20408 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773308 | Ashley Harris | Non-emergency Medical Transport (VAN) | 835 S Donaghey Ave, Conway, AR 72034-7048 | 2020-02-27 |
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1528610722 | Ashley Dawn Harris | Physical Therapy Assistant | 11325 Private Drive 2111, Rolla, MO 65401-8279 | 2019-07-09 |
| 1356801187 | Ashley Monique Harris | Peer Specialist | 18 E Southern Ave, Springfield, OH 45506-2647 | 2019-03-20 |
| 1518431881 | Ashley Harris | Counselor | 2690 Cobb Pkwy Se Ste A-5, Smyrna, GA 30080-3005 | 2019-01-19 |
| 1477086262 | Ashley Harris | Technician | 853 21st St Ne Apt 4, Washington, DC 20002-4141 | 2017-04-07 |
| 1700258399 | Ashley Harris | Home Health Aide | 4402 Livingston Rd Se, Apt. B, Washington, DC 20032-2938 | 2015-10-22 |
| 1104297035 | Ashley Harris | Nurse Practitioner | 630 S Raymond Ave Unit 340, Pasadena, CA 91105-3206 | 2015-10-19 |
| 1972988087 | Ashley Leeanne Harris | Pharmacist | 9900 Poplar Tent Rd Ste 124, Concord, NC 28027-9502 | 2015-07-30 |
| 1336567171 | Ashley Harris | Dentist | 10290 Showboat Ln, Royal Palm Beach, FL 33411-3022 | 2014-03-30 |
| Street Address |
845 S MADISON ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495192 | Samuel D. Newell Jr. | Psychiatry & Neurology | 845 S Madison St, Tupelo, MS 38801-4905 | 2005-08-23 |
| 1497223317 | Marian Boykin | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2018-11-08 |
| 1649756271 | Janice R Driskell | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2018-07-17 |
| 1255855243 | Emily Littlejohn | Dietitian, Registered | 845 S Madison St, Tupelo, MS 38801-4905 | 2017-08-01 |
| 1538697172 | Salley Williams | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2017-05-26 |
| 1093198988 | North Mississippi Medical Clinics, Inc | Internal Medicine | 845 S Madison St, Suite B, Tupelo, MS 38801-4905 | 2015-07-09 |
| 1386039683 | Waqas Israr Gilani | Psychiatry & Neurology | 845 S Madison St, Tupelo, MS 38801-4905 | 2015-04-02 |
| 1922497759 | Marlene Vickery | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2015-01-16 |
| 1275942369 | Robert Foster | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2014-08-04 |
| 1396150017 | Bobbi Sanders | Nurse Practitioner | 845 S Madison St, Tupelo, MS 38801-4905 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1467921825 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 2781 C T Switzer Sr Drive, Suite 308, Biloxi, MS 39531 | 2018-11-15 |
| 1295224954 | Flora Physicians, Pllc | Family Medicine | 4848 Main St, Flora, MS 39071-9515 | 2018-05-08 |
| 1265803985 | Mississippi Phs Md LLC | Family Medicine | 232 Market St, Flowood, MS 39232-3339 | 2015-10-08 |
| 1609187152 | Rebecca E Hollingsworth | Family Medicine | 20 Rawls Springs Loop Rd, Hattiesburg, MS 39402-7801 | 2010-06-30 |
| 1255447900 | Donald D. Weaver | Family Medicine | 1612 31st Ave, Gulfport, MS 39501-2750 | 2006-08-22 |
| 1659388585 | John Phenis Hey IIi | Family Medicine | 405 River Rd, Greenwood, MS 38930-4212 | 2006-08-02 |
| 1841206760 | Robert H Pierce | Family Medicine | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-31 |
| 1124048756 | Cherie Diane Knight | Family Medicine | 400 Veterans Ave, 11e, Biloxi, MS 39531-2410 | 2006-07-19 |
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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.