AMY K HARRIS (N.P) – Nurse Practitioner, NPI 1124034541

AMY K HARRIS (N.P) is a healthcare provider. based in Atlanta, Georgia. specializing in Nurse Practitioner. They hold the professional credentials N.P. They hold a License No. 0103714 (TN). The NPI Number for AMY K HARRIS (N.P) is 1124034541

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
AMY K HARRIS (N.P)
NPI
1124034541
Phone
Not provided
Address
PO BOX 405827
Enumeration Date
31 July 2006
Last Update Date
25 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9014762621
Graduation Year
1995 (31 years ago)
PAC ID
9739132440
Group Practice PAC ID
6709878614
Professional Enrollment ID
I20050222000896
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for AMY K HARRIS (N.P)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303845800

    Phone:

    Type: Mailing

  • East Reelfoot Avenue, Highland, Union City, Obion County, Tennessee, 38261, United States

    UNION CITY, TN 382615867

    Phone: (731) 884-1412

    Fax: (731) 884-1720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 243 Open Payments records for all available years, with a total value of $4,595.

Total Amount is formed as General ($4,595) + Research ($0) + Ownership ($0) = $4,595.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lilly USA, LLC ($312).

Total Amount

$4,595

General + Research + Ownership

Payments

243

Total payment records

General Amount

$4,595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-22

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
I20050222000896INurse PractitionerTNTBD

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 30384)

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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: 6709878614View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTN
Nurse PractitionerTN
-TN
H E M A T O L O G Y/ O N C O L O G YTN
H E M A T O L O G Y/ O N C O L O G YTN
H E M A T O L O G Y/ O N C O L O G YTN
Thoracic Surgery, Cardiovascular Disease (Cardiology), Thoracic SurgeryGA
-GA
Hematology/Oncology, HematologyTN
Hematology/Oncology, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for AMY K HARRIS (N.P) in U.S. healthcare records?
The official identifier for AMY K HARRIS (N.P) is NPI 1124034541.
Active or inactive — what applies to AMY K HARRIS (N.P)?
You should see AMY K HARRIS (N.P) as active in CMS-hosted NPPES data.
What clinical focus is listed for AMY K HARRIS (N.P)?
At a glance, AMY K HARRIS (N.P) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is AMY K HARRIS (N.P) registered?
Use Atlanta, Georgia as the headline location for AMY K HARRIS (N.P) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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