CORY LYNN HARRIS (NP-C) – Family Nurse Practitioner, NPI 1053661413

CORY LYNN HARRIS (NP-C) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 5005807 (NC). The NPI Number for CORY LYNN HARRIS (NP-C) is 1053661413

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CORY LYNN HARRIS (NP-C)
NPI
1053661413
Phone
(256) 239-7807
Address
5825 LAKEVIEW CIR
Enumeration Date
13 September 2012
Last Update Date
15 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053809455
Graduation Year
2012 (14 years ago)
PAC ID
4385898253
Group Practice PAC ID
9931106986
Professional Enrollment ID
I20140619002402
Address ID
AL352122522BI5720XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for CORY LYNN HARRIS (NP-C)

  • 5825 LAKEVIEW CIR

    BIRMINGHAM, AL 352104437

    Phone: (256) 239-7807

    Type: Mailing

  • 5720 1ST AVE S

    BIRMINGHAM, AL 352122522

    Phone: (205) 380-9455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140619002402INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35210)

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Provider's Procedures

CORY LYNN HARRIS (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL83036Hemoglobin A1C level3723

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931106986View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyTX
Family PracticeAL
Family PracticeAL
Family PracticeAL
Physician AssistantAL
Internal Medicine, Pediatric MedicineAL
Internal MedicineAL
Nurse PractitionerPA
Family PracticeNC
Family PracticeAL

Reviews

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Frequently asked questions

What identifier follows CORY LYNN HARRIS (NP-C) across health systems?
The NPI 1053661413 uniquely identifies CORY LYNN HARRIS (NP-C) in U.S. healthcare data.
Should I treat CORY LYNN HARRIS (NP-C) as an active provider?
Patients and plans typically see CORY LYNN HARRIS (NP-C) as active in the national extract.
How should patients interpret CORY LYNN HARRIS (NP-C)'s specialty?
The extract shows Family Nurse Practitioner for CORY LYNN HARRIS (NP-C). Clinical services aligned with this taxonomy classification.
Which community is linked to CORY LYNN HARRIS (NP-C)?
CORY LYNN HARRIS (NP-C) shows a connection to Birmingham, Alabama in registry-derived data.
Why is information missing for CORY LYNN HARRIS (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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