JESSICA MARIE HARRISON (FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700226107
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for JESSICA MARIE HARRISON (FNP-C)
137 COMMERCE AVENUE
SUITE 289 B
LAGRANGE, GA 302412346
Phone: (706) 416-7837
Type: Mailing
7515 FALCON CREST DR # 200
REDMOND, OR 977565014
Phone: (541) 904-5216
Fax: (541) 527-4347
Type: Mailing
102 Main St Ste 204
LaGrange, GA 302403225
Phone: (706) 416-7837
Fax: (888) 855-7157
Type: Location
102 MAIN ST STE 204
LAGRANGE, GA 302403225
Phone: (706) 416-7837
Fax: (888) 855-7157
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: 2025-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141028002827 | I | Nurse Practitioner | GA | TBD |
| I20251004000220 | I | Nurse Practitioner | TX | TBD |
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.
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 30241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| - | NC |
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