| Jerel Keith Harris, NP-C | |
|
1677 Archer Estates Dr Nw, Kennesaw, GA 30152-8101 | |
| (478) 228-8506 | |
| Not Available |
| Full Name | Jerel Keith Harris |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1677 Archer Estates Dr Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750843876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN165803 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 455 |
| Entity Name | Atlanta Medical Clinic L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891018016 PECOS PAC ID: 4880724285 Enrollment ID: O20100611000008 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201119003156 |
| Entity Name | Restorathens, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295405488 PECOS PAC ID: 2961800719 Enrollment ID: O20211007002728 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerel Keith Harris, NP-C 1677 Archer Estates Dr Nw, Kennesaw, GA 30152-8101 Ph: (478) 228-8506 | Jerel Keith Harris, NP-C 1677 Archer Estates Dr Nw, Kennesaw, GA 30152-8101 Ph: (478) 228-8506 |
Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827 | |
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205 | |
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181 | |
Shakira Lynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 N Cobb Pkwy, Kennesaw, GA 30152 Phone: 877-993-4321 | |
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Julia Perry Wutz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4255 Wade Green Rd Nw Ste 320, Kennesaw, GA 30144 Phone: 770-423-1316 |