CONNIE HARRIS (MSN, APRN, FNP-C) – Nurse Practitioner, NPI 1811437437

CONNIE HARRIS (MSN, APRN, FNP-C) is a healthcare provider. based in Locust grove, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. RN193986 (GA). The NPI Number for CONNIE HARRIS (MSN, APRN, FNP-C) is 1811437437

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE HARRIS (MSN, APRN, FNP-C)
NPI
1811437437
Phone
(718) 812-9031
Address
2435 MCINTOSH DR
Enumeration Date
1 March 2017
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702531912
Graduation Year
2016 (10 years ago)
PAC ID
0547538548
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20170615001866
Address ID
GA302651618NE745XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for CONNIE HARRIS (MSN, APRN, FNP-C)

  • 2435 MCINTOSH DR

    LOCUST GROVE, GA 302487412

    Phone: (718) 812-9031

    Type: Mailing

  • PO BOX 116116

    ATLANTA, GA 303686116

    Phone:

    Type: Mailing

  • 795 POPLAR RD STE 400

    NEWNAN, GA 302652590

    Phone: (770) 400-4670

    Type: Location

  • 2435 McIntosh Dr

    Locust Grove, GA 302487412

    Phone: (718) 812-9031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $350.

Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Lexicon Pharmaceuticals, Inc. ($125).

Total Amount

$350

General + Research + Ownership

Payments

5

Total payment records

General Amount

$350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

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: 2019-11-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170615001866INurse PractitionerGATBD
I20191126001967INurse PractitionerCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 30248)

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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: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Nurse PractitionerGA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CONNIE HARRIS (MSN, APRN, FNP-C)?
CONNIE HARRIS (MSN, APRN, FNP-C) — NPI 1811437437 — is the standard way to identify this listing.
Is CONNIE HARRIS (MSN, APRN, FNP-C) listed as active for patients and plans?
The listing shows CONNIE HARRIS (MSN, APRN, FNP-C) as active in the NPI system.
What healthcare role does CONNIE HARRIS (MSN, APRN, FNP-C) hold?
Scheduling teams often label CONNIE HARRIS (MSN, APRN, FNP-C) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CONNIE HARRIS (MSN, APRN, FNP-C)?
CONNIE HARRIS (MSN, APRN, FNP-C)'s geographic hint is Locust Grove, Georgia in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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