AMANDA L HARRIS (M.D.) – Obstetrics & Gynecology Physician, NPI 1336159128

AMANDA L HARRIS (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. J6479 (TX). The NPI Number for AMANDA L HARRIS (M.D.) is 1336159128

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA L HARRIS (M.D.)
NPI
1336159128
Phone
(903) 630-9400
Address
700 OLYMPIC PLAZA CIR STE 503
Enumeration Date
8 August 2006
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2547242663
Graduation Year
1993 (33 years ago)
PAC ID
2264556927
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20100901000642
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
aharris1389564@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:19State licenses:1Other names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for AMANDA L HARRIS (M.D.)

  • Olympic Plaza Circle, Tyler, Smith County, Texas, United States

    TYLER, TX 757011952

    Phone: (903) 630-9400

    Fax: (903) 630-9405

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Type: Mailing

  • 810 W HIGHWAY 71

    MARBLE FALLS, TX 786548602

    Phone: (830) 201-8000

    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: 2010-09-01

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
I20100901000642IObstetrics/GynecologyTXTBD

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 75701)

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Provider's Procedures

AMANDA L HARRIS (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTX76830Ultrasound pelvis through vagina1313

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for AMANDA L HARRIS (M.D.) in U.S. healthcare records?
The official identifier for AMANDA L HARRIS (M.D.) is NPI 1336159128.
Is there an active status for AMANDA L HARRIS (M.D.)?
For scheduling context, AMANDA L HARRIS (M.D.) is shown as active in the registry.
What clinical focus is listed for AMANDA L HARRIS (M.D.)?
At a glance, AMANDA L HARRIS (M.D.) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA L HARRIS (M.D.)?
Travel planning: use Tyler, Texas as the reference point for AMANDA L HARRIS (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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