Dr Jacqueline D Harris, MD - Medicare Family Practice in Atlanta, GA

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Dr Jacqueline D Harris, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. She went to Southern Illinois University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Piedmont Providers Llc and her current practice location is 35 Collier Rd Nw Ste 775, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 350-4280.

Dr Jacqueline D Harris is licensed to practice in Georgia (license number 63934) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073771762.

Contact Information

Dr Jacqueline D Harris, MD
35 Collier Rd Nw Ste 775,
Atlanta, GA 30309-1608
(404) 350-4280
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacqueline D Harris
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location35 Collier Rd Nw Ste 775, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqueline D Harris attended and graduated from Southern Illinois University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1073771762
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597936013
  • Enrollment ID: I20110914000024

Medical Identifiers

Medical identifiers for Dr Jacqueline D Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073771762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2010-01838 (North Carolina)Secondary
207Q00000XFamily Medicine 63934 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825367

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacqueline D Harris allows following entities to bill medicare on her behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NamePiedmont Medical Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956046
PECOS PAC ID: 6002802220
Enrollment ID: O20040422001500
Entity NameAscend Medical Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841800836
PECOS PAC ID: 8820488745
Enrollment ID: O20211209000000

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline D Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacqueline D Harris, MD
815 Weldon Rd,
Palmetto, GA 30268-1667

Ph: (678) 593-1900		Dr Jacqueline D Harris, MD
35 Collier Rd Nw Ste 775,
Atlanta, GA 30309-1608

Ph: (404) 350-4280

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.